Surgically Induced Focal Scleral Necrosis – A Rare Outcome

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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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Issue

Vol. 13 No. 01 (2025): UP Journal of Ophthalmology

Section

Case Report

License

Copyright (c) 2025 Raina Garg, Tejal Srivastava, Mohammad Saquib

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

© Author, Open Access. This article is licensed under a CC Attribution 4.0 License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit https://creativecommons.org/licenses/byncsa/4.0/.

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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