Surgically induced necrotizing scleritis after primary pterygium surgery with conjunctival autograft

Katsuya Yamazoe1,2, Seika Shimazaki-Den1, Isao Otaka3, Kazuki Hotta2, Jun Shimazaki1,4 1Department of Ophthalmology, Tokyo Dental College, Ichikawa, 2Department of Ophthalmology, Kameda Medical Center, Kamogawa, 3Yokohama Sotetsu Building Eye Center, Yokohama, 4Department of Ophthalmology, Keio Univ...

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Autores principales:	Yamazoe K, Shimazaki-Den S, Otaka I, Hotta K, Shimazaki J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/f52faf3a963e427694a6f257b81f84f5
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spelling	oai:doaj.org-article:f52faf3a963e427694a6f257b81f84f52021-12-02T06:17:30ZSurgically induced necrotizing scleritis after primary pterygium surgery with conjunctival autograft1177-54671177-5483https://doaj.org/article/f52faf3a963e427694a6f257b81f84f52011-11-01T00:00:00Zhttp://www.dovepress.com/surgically-induced-necrotizing-scleritis-after-primary-pterygium-surge-a8636https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Katsuya Yamazoe1,2, Seika Shimazaki-Den1, Isao Otaka3, Kazuki Hotta2, Jun Shimazaki1,4 1Department of Ophthalmology, Tokyo Dental College, Ichikawa, 2Department of Ophthalmology, Kameda Medical Center, Kamogawa, 3Yokohama Sotetsu Building Eye Center, Yokohama, 4Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan Background: Although pterygium excision with conjunctival autograft is a widely performed surgical procedure, surgically induced necrotizing scleritis (SINS) following such surgery is extremely rare. Methods: A 68-year-old man underwent nasal pterygium excision with conjunctival autograft uneventfully. On postoperative day 17, the conjunctival graft was avascular, with epithelial defect. Although topical steroid and antibacterial treatments were continued, the graft and sclera melted, with the ischemic sclera showing gradual thinning. The thinning area spread to the adjoining cornea, and active inflammation with epithelial defect was observed adjacent to the site of thinning. Results: Systemic and microbiological examination was noncontributory. The patient was suspected of having SINS, and administration of oral prednisolone was started. Although the necrotic area was reduced temporarily, medication was discontinued due to nausea, and the area of thinning increased. Conjunctival flap surgery was later performed, and the graft was well accepted. Conclusions: SINS must be considered in the differential diagnosis of patients with scleritis following pterygium surgery, especially if radiation or mitomycin C has not been used. Keywords: scleritis, pterygium, pterygium surgery, conjunctival autograft, SINSYamazoe KShimazaki-Den SOtaka IHotta KShimazaki JDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 1609-1611 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Yamazoe K Shimazaki-Den S Otaka I Hotta K Shimazaki J Surgically induced necrotizing scleritis after primary pterygium surgery with conjunctival autograft
description	Katsuya Yamazoe1,2, Seika Shimazaki-Den1, Isao Otaka3, Kazuki Hotta2, Jun Shimazaki1,4 1Department of Ophthalmology, Tokyo Dental College, Ichikawa, 2Department of Ophthalmology, Kameda Medical Center, Kamogawa, 3Yokohama Sotetsu Building Eye Center, Yokohama, 4Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan Background: Although pterygium excision with conjunctival autograft is a widely performed surgical procedure, surgically induced necrotizing scleritis (SINS) following such surgery is extremely rare. Methods: A 68-year-old man underwent nasal pterygium excision with conjunctival autograft uneventfully. On postoperative day 17, the conjunctival graft was avascular, with epithelial defect. Although topical steroid and antibacterial treatments were continued, the graft and sclera melted, with the ischemic sclera showing gradual thinning. The thinning area spread to the adjoining cornea, and active inflammation with epithelial defect was observed adjacent to the site of thinning. Results: Systemic and microbiological examination was noncontributory. The patient was suspected of having SINS, and administration of oral prednisolone was started. Although the necrotic area was reduced temporarily, medication was discontinued due to nausea, and the area of thinning increased. Conjunctival flap surgery was later performed, and the graft was well accepted. Conclusions: SINS must be considered in the differential diagnosis of patients with scleritis following pterygium surgery, especially if radiation or mitomycin C has not been used. Keywords: scleritis, pterygium, pterygium surgery, conjunctival autograft, SINS
format	article
author	Yamazoe K Shimazaki-Den S Otaka I Hotta K Shimazaki J
author_facet	Yamazoe K Shimazaki-Den S Otaka I Hotta K Shimazaki J
author_sort	Yamazoe K
title	Surgically induced necrotizing scleritis after primary pterygium surgery with conjunctival autograft
title_short	Surgically induced necrotizing scleritis after primary pterygium surgery with conjunctival autograft
title_full	Surgically induced necrotizing scleritis after primary pterygium surgery with conjunctival autograft
title_fullStr	Surgically induced necrotizing scleritis after primary pterygium surgery with conjunctival autograft
title_full_unstemmed	Surgically induced necrotizing scleritis after primary pterygium surgery with conjunctival autograft
title_sort	surgically induced necrotizing scleritis after primary pterygium surgery with conjunctival autograft
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/f52faf3a963e427694a6f257b81f84f5
work_keys_str_mv	AT yamazoek surgicallyinducednecrotizingscleritisafterprimarypterygiumsurgerywithconjunctivalautograft AT shimazakidens surgicallyinducednecrotizingscleritisafterprimarypterygiumsurgerywithconjunctivalautograft AT otakai surgicallyinducednecrotizingscleritisafterprimarypterygiumsurgerywithconjunctivalautograft AT hottak surgicallyinducednecrotizingscleritisafterprimarypterygiumsurgerywithconjunctivalautograft AT shimazakij surgicallyinducednecrotizingscleritisafterprimarypterygiumsurgerywithconjunctivalautograft
_version_	1718400029015670784

Surgically induced necrotizing scleritis after primary pterygium surgery with conjunctival autograft

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