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[Diagnosis and treatment approach for necrotizing scleritis (NS): A clinical case]
Julio C Hernández-Camarena1, Alejandro Rodríguez-García2, Jorge Valdez-García1
1Instituto de Oftalmología y Ciencias Visuales, Servicio de Córnea y Cirugía Refractiva, Escuela de Medicina del Tecnológico de Monterrey, Monterrey, N.L., México.
Abstract:
Necrotizing scleritis is an immune-mediated ocular inflammatory process, characterized by an area of avascular necrosis and a profound inflammation of the sclera and episclera. Necrotizing scleritis and its association with peripheral ulcerative keratitis--necrotizing sclerokeratitis (NS)--represents a serious threat for vision and eye integrity, evolves very fast if untreated, and its finding suggests the presence of a potentially lethal systemic vasculitic process. The following case is an example of the diagnostic approach and therapeutic scale in a 63-year-old women with necrotizing sclerokeratitis.
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