A peculiar case of necrotizing sclerokeratitis with Pseudomonas infection.
A 71-year old woman complains of painless inflammation, discharge and decreased vision at the right eye since two weeks. Eight years before she was operated at this eye for a nasally located pterygium and received adjuvant radiotherapy. On examination a necrotizing scleritis was seen which rapidly involved the cornea and was infected by Pseudomonas. Despite intensive antibiotherapy the sclerokeratitis extended further and eventually lead to enucleation. Surgically induced scleritis-especially after pterygium surgery with adjuvant radiotherapy-and complicating Pseudomonas infection are discussed.
Hanssens
M
M
Dept. of Ophthalmology, University Clinic, Ghent, Belgium.
D000368:Aged; D015353:Eye Enucleation; D005260:Female; D006801:Humans; D007634:Keratitis / Q000382:microbiology* / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000382:microbiology; D011552:Pseudomonas Infections / Q000382:microbiology*; D011550:Pseudomonas aeruginosa; D011625:Pterygium / Q000601:surgery; D018714:Radiotherapy, Adjuvant / Q000009:adverse effects; D015423:Scleritis / Q000382:microbiology* / Q000473:pathology / Q000601:surgery