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Necrotizing scleritis following uncomplicated strabismus surgery

Amar Pujari1, Manthan Hasmukhbhai Chaniyara1, Pradeep Sharma2

  • 1Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Indian Journal of Ophthalmology
|October 30, 2020
PubMed

Insights

A child experienced scleral wound dehiscence after strabismus surgery for infantile esotropia. Prompt surgical repair with a scleral graft successfully restored visual and cosmetic outcomes.

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.

Keywords:
Necrotizing scleritisscleral patch graftstrabismus surgery complications

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