Surgically Induced Focal Scleral Necrosis – A Rare Outcome

Published

2025-04-30

DOI:

https://doi.org/10.56692/upjo.2025130105

Keywords:

Scleral necrosis, Vitrectomy, Scleral buckling, Epi-retinal membrane, Vitreo-retinal surgery, Non contact tonometry, OD - Right eye, OS - Left eye.

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Authors

  • Raina Garg Institute of Ophthalmology, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
  • Tejal Srivastava Institute of Ophthalmology, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
  • Mohammad Saquib Institute of Ophthalmology, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.

Abstract

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.
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.

How to Cite

1.
Garg R, Srivastava T, Saquib M. Surgically Induced Focal Scleral Necrosis – A Rare Outcome. UPJO [Internet]. 2025 Apr. 30 [cited 2025 Jul. 7];13(01):24-5. Available from: https://upjo.org/index.php/upjo/article/view/540

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