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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2014  |  Volume : 21  |  Issue : 4  |  Page : 350-353

Postoperative necrotizing scleritis: A report of four cases

1 Department of Vitreoretina, Sankara Nethralaya, Kolkata, West Bengal, India
2 Department of Ocular Immunology and Infalmmation, Sankara Nethralaya, Chennai, Tamil Nadu, India

Correspondence Address:
Kumar Saurabh
Department of Vitreoretina, Sankara Nethralaya, Kolkata, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-9233.142277

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Postoperative necrotizing scleritis should be considered in cases of persistent localized postoperative inflammation following all forms of surgical trauma. We present the history, clinical findings, and follow-up data of four patients with postoperative necrotizing scleritis. The clinical records of four patients who developed scleritis following ocular surgery were retrospectively reviewed. The first step in managing necrotizing scleritis is to rule out infectious etiology. Surgically induced necrotizing scleritis is an immune-mediated condition that can coexist with concomitant infectious condition, i.e. endophthalmitis, but response to immunosuppression leads to resolution of the disease and verifi es the diagnosis.

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