Necrotizing scleritis following uncomplicated strabismus surgery

Area of Science:

• Ophthalmology
• Pediatric Surgery

Background:

• Infantile esotropia is a common childhood eye misalignment.
• Strabismus surgery aims to correct eye alignment but carries potential complications.

Observation:

• A 5-year-old with infantile esotropia developed severe pain and redness post-surgery.
• Scleral wound dehiscence with vitreous prolapse occurred 10 days after strabismus surgery.

Findings:

• Microbiological sampling and immediate medical management were initiated.
• Scleral wound dehiscence was confirmed by slit-lamp examination.
• An urgent scleral patch graft was performed within 6 hours.

Implications:

• Early detection and intervention are crucial for managing postoperative complications.
• Scleral patch grafting is an effective treatment for scleral wound dehiscence.
• Timely surgical repair can lead to favorable visual and cosmetic results in pediatric strabismus surgery.