Surgically Induced Focal Scleral Necrosis – A Rare Outcome
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https://doi.org/10.56692/upjo.2025130105Keywords:
Scleral necrosis, Vitrectomy, Scleral buckling, Epi-retinal membrane, Vitreo-retinal surgery, Non contact tonometry, OD - Right eye, OS - Left eye.Dimensions Badge
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Copyright (c) 2025 Raina Garg, Tejal Srivastava, Mohammad Saquib

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Purpose: To report a case of surgically induced focal scleral necrosis characterised by conjunctival retraction and scleral thinning with uveal show following a vitreo-retinal surgery.Abstract
Methods: Detailed history, clinical examination, management
Results: A 71-year-old male underwent an uneventful vitreo-retinal surgery for retinal detachment in the right eye. About 2 months post-operatively he presented with a complaint of excessive tearing and redness in his right eye. BCVA was -2.00 DS -1.00*110° DC 1/60 in right eye and plain 6/12 in left eye at presentation. Slit lamp examination revealed scleral thinning with conjunctival retraction, scleral thinning with uveal show and prominent episcleral vessels. Patient was prescribed fortified vitamin C eye drop, topical moxifloxacin, topical prednisone and tablet doxycycline, and was advised scleral patch graft repair.
Conclusion: Surgically induced scleral necrosis is relatively rare complication following vitreoretinal surgeries.
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