Journal of Clinical and Experimental Ophthalmology
Open Access

Abstract

Necrotising Scleritis Post Trans-Scleral Diode Cyclophotocoagulation-A Novel Approach

Vipul Bhandari, Jnaneshwar Prasanna, Pankaj Bendale, Aditya Kelkar, Anand Doraisamy, and Shylaja

Introduction: Surgically induced necrotizing sclerokeratitis (SINS) is a destructive form of scleritis.
Presentation of Case: We report two cases of necrotising scleritis after inferior 180 degrees trans-scleral cyclophotocoagulation (TSCPC). Both patients presented after one week with symptoms of pain and redness. We tried a novel therapy of surgical patch graft rather than systemic steroid therapy.
Discussion: High dose pulse systemic steroid with gradual tapering is the initial treatment for which majority cases respond. Some cases do require systemic immunosuppression by drugs other than steroids. We tried a novel therapy of surgical patch graft rather than systemic steroid therapy.
Conclusion: Scleral patch graft is a novel treatment in the management of post-TSCPC SINS.