title: Postoperative necrotizing scleritis: a report of four cases.
abstract: Postoperative necrotizing scleritis should be considered in cases of persistent localized postoperative inflammation following all forms of surgical trauma. We present the history, clinical findings, and follow-up data of four patients with postoperative necrotizing scleritis. The clinical records of four patients who developed scleritis following ocular surgery were retrospectively reviewed. The first step in managing necrotizing scleritis is to rule out infectious etiology. Surgically induced necrotizing scleritis is an immune-mediated condition that can coexist with concomitant infectious condition, i.e. endophthalmitis, but response to immunosuppression leads to resolution of the disease and verifies the diagnosis.
authors.affiliation: Department of Vitreoretina, Sankara Nethralaya, Kolkata, West Bengal, India.
authors.forename: Sudipta
authors.initials: S
authors.lastname: Das
authors.affiliation: Department of Vitreoretina, Sankara Nethralaya, Kolkata, West Bengal, India.
authors.forename: Kumar
authors.initials: K
authors.lastname: Saurabh
authors.affiliation: Department of Ocular Immunology and Infalmmation, Sankara Nethralaya, Chennai, Tamil Nadu, India.
authors.forename: Jyotrimay
authors.initials: J
authors.lastname: Biswas
mesh_terms: D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D019654:Lens Implantation, Intraocular; D008297:Male; D008727:Methotrexate / Q000627:therapeutic use; D008875:Middle Aged; D018918:Phacoemulsification; D011183:Postoperative Complications; D011239:Prednisolone / Q000627:therapeutic use; D012189:Retrospective Studies; D015423:Scleritis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014130:Trabeculectomy; D014821:Vitrectomy
chemical_list: D005938:Glucocorticoids; D007166:Immunosuppressive Agents; D011239:Prednisolone; D008727:Methotrexate
keywords: Immunosuppression; Necrotizing; Scleritis; Surgery