Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Vipul Bhandari
Vasan eye centre,
Rajajinagar, Bangalore
India
Case Report
Necrotising Scleritis Post Trans-Scleral Diode Cyclophotocoagulation-A Novel Approach
Author(s): Vipul Bhandari, Jnaneshwar Prasanna, Pankaj Bendale, Aditya Kelkar, Anand Doraisamy, and Shylaja
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.
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DOI:
10.4172/2155-9570.1000412