title: Bilateral necrotizing scleritis following strabismus surgery for thyroid ophthalmopathy.
abstract: A case of a bilateral necrotizing scleritis following strabismus surgery for thyroid ophthalmopathy is described. A 71-year-old man was operated on for esotropia due to prior and equilibrated Grave's disease. Two weeks after surgery, he had a scleral necrosis that was located on the surgery sites (insertion of the two medial rectus muscles). There was no infectious or autoimmune etiology. The pathogenic mechanism was ischemic and inflammatory, doubtless facilitated by the thyroid ophthalmopathy. The outcome was favorable after 3 weeks of antibiotic and anti-inflammatory treatment. To the authors' knowledge, this is the first bilateral case of this complication.
authors.affiliation: Quinze-Vingts National Centre of Ophthalmology, Paris, France.
authors.forename: Maté
authors.initials: M
authors.lastname: Streho
authors.forename: Béatrice
authors.initials: B
authors.lastname: Roussat
authors.forename: Thomas
authors.initials: T
authors.lastname: Bouaziz
authors.forename: Nicole
authors.initials: N
authors.lastname: Ounnas
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Nordmann
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004172:Diplopia / Q000601:surgery; D004359:Drug Therapy, Combination; D004948:Esotropia / Q000601:surgery*; D007839:Functional Laterality; D005938:Glucocorticoids / Q000627:therapeutic use; D049970:Graves Ophthalmopathy / Q000601:surgery*; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000601:surgery*; D011183:Postoperative Complications; D015423:Scleritis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
chemical_list: D000900:Anti-Bacterial Agents; D005938:Glucocorticoids