A peculiar case of necrotizing sclerokeratitis with Pseudomonas infection

A 71-year old woman complains of painless inflammation, discharge and decreased vision at the right eye since two weeks. Eight years before she was operated at this eye for a nasally located pterygium and received adjuvant radiotherapy. On examination a necrotizing scleritis was seen which rapidly involved the cornea and was infected by Pseudomonas. Despite intensive antibiotherapy the sclerokeratitis extended further and eventually lead to enucleation. Surgically induced scleritis-especially after pterygium surgery with adjuvant radiotherapy-and complicating Pseudomonas infection are discussed.