title: Repair of necrotizing scleritis in ulcerative colitis with processed pericardium and a Prokera amniotic membrane graft.
abstract: OBJECTIVE
  To demonstrate an unusual case of necrotizing scleritis in ulcerative colitis successfully managed by a combination of a Prokera implant and processed pericardium.
  
  
  METHODS
  A case report of a novel approach to treat scleral melts that may be seen in several clinical situations.
  
  
  RESULTS
  The dual use of amniotic membrane material (Prokera) with processed tuttoplast for necrotizing scleritis salvaged the eye without the need for enucleation while also preserving most of the vision.
  
  
  CONCLUSIONS
  Consideration of the combined method discussed in this article should be considered in the treatment of severe scleromalacia seen in inflammatory cases of the eye.
authors.affiliation: Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, NY 11203, USA. douglas.lazzaro@downstate.edu
authors.forename: Douglas R
authors.initials: DR
authors.lastname: Lazzaro
mesh_terms: D000369:Aged, 80 and over; D001684:Biological Dressings; D003093:Colitis, Ulcerative / Q000150:complications*; D003228:Conjunctiva / Q000601:surgery; D015925:Cryopreservation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010496:Pericardium / Q000637:transplantation*; D015423:Scleritis / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D013536:Suture Techniques; D014792:Visual Acuity