Surgically induced necrotizing scleritis in a patient with ankylosing spondylitis.
We present the case of a 75-year-old man with ankylosing spondylitis who developed surgically induced necrotizing scleritis (SINS) more than 3 years after uneventful extracapsular cataract extraction and posterior chamber intraocular lens implantation. The patient presented with a painful eye and increasing vertical diplopia. To our knowledge, neither the association of SINS and ankylosing spondylitis nor vertical diplopia as its presenting complaint has been described.
Karia
N
N
Prince Charles' Eye Unit, King Edward VII Hospital, Windsor, England, United Kingdom.
Doran
J
J
Watson
S L
SL
Nischal
K
K
D000368:Aged; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage; D001379:Azathioprine / Q000008:administration & dosage; D002386:Cataract / Q000150:complications*; D002387:Cataract Extraction / Q000009:adverse effects*; D004172:Diplopia / Q000209:etiology; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D019654:Lens Implantation, Intraocular / Q000009:adverse effects; D008297:Male; D015423:Scleritis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013167:Spondylitis, Ankylosing / Q000150:complications*; D014792:Visual Acuity
D000894:Anti-Inflammatory Agents, Non-Steroidal; D005938:Glucocorticoids; D007166:Immunosuppressive Agents; D001379:Azathioprine