Scleral melt and uveal prolapse following 23-gauge pars plana vitrectomy

Jomar, Deema; AlHilali, Sara; AlMutlak, Mohammed

doi:10.1016/j.ajoc.2022.101769

Cited by 2 publications

(1 citation statement)

References 37 publications

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“…Surgically induced necrotizing scleritis (SINS) is an infrequent complication following vitreoretinal procedures, with a total of eight reported cases after such surgeries to date (as per a PubMed search) [1][2][3][4][5][6][7][8][9]. The potential pathogenesis of SINS involves organ-specific auto-reactivity causing capillary closure and tissue ischemia.…”

Section: Discussionmentioning

confidence: 99%

Surgically-Induced Necrotizing Scleritis After Pars Plana Vitrectomy: A Case Report

Tanveer,

Priyatha,

Tahir

et al. 2024

Cureus

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Surgically induced necrotizing scleritis (SINS) is a rare delayed hypersensitivity reaction following ocular surgeries, characterized by pain and redness at the surgical site. While commonly reported in various ocular surgeries, its occurrence after vitreoretinal procedures remains infrequent. We present a case of a 61-year-old diabetic male who developed progressive scleral melting and uveal exposure two months after an uneventful 23-gauge vitrectomy for retinal detachment. The infectious and immunologic profile was negative. Despite aggressive medical and surgical interventions, the patient exhibited advancing scleral melting. The diagnostic challenge lies in determining the relative contributions of trauma, epithelial breakdown, immune activation, and infection in these patients. Our patient's uncontrolled diabetes potentially aggravated vascular disruption, contributing to delayed wound healing and immune complex deposition. The treatment involved topical steroids with broad-spectrum antibiotics, followed by conjunctival flap and oral corticosteroids. This case underscores the importance of early diagnosis, cautious immunosuppression, and thorough infection evaluation in managing postoperative scleritis. The limitations include a single culture test and the patient being lost to follow-up.

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Section: Discussionmentioning

confidence: 99%

Surgically-Induced Necrotizing Scleritis After Pars Plana Vitrectomy: A Case Report

Tanveer,

Priyatha,

Tahir

et al. 2024

Cureus

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Surgically Induced Scleritis Associated With Suture Hypersensitivity Following Strabismus Surgery

Lee,

Freedman,

Abrams

et al. 2024

J Pediatr Ophthalmol Strabismus

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A 67-year-old woman with history of mild suture hyper-sensitivity presented with localized scleritis after strabismus surgery. After infection was ruled out, the patient was prescribed topical and systemic non-steroidal anti-inflammatory drugs and systemic steroids, which led to full clinical resolution. [ J Pediatr Ophthalmol Strabismus . 2024;61(1):e4–e6.]

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Scleral melt and uveal prolapse following 23-gauge pars plana vitrectomy

Cited by 2 publications

References 37 publications

Surgically-Induced Necrotizing Scleritis After Pars Plana Vitrectomy: A Case Report

Surgically-Induced Necrotizing Scleritis After Pars Plana Vitrectomy: A Case Report

Surgically Induced Scleritis Associated With Suture Hypersensitivity Following Strabismus Surgery

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