Surgically induced necrotizing scleritis and optic neuropathy after pars plana vitrectomy as presenting signs of churg-strauss syndrome.
OBJECTIVE
To report a case of surgically induced necrotizing scleritis and optic neuropathy after pars plana vitrectomy as presenting signs of Churg-Strauss syndrome.


METHODS
Case report.


RESULTS
A 59-year-old Asian man underwent a 20-gauge pars plana vitrectomy to remove a posteriorly dislocated intraocular lens. During follow-up, he developed unilateral necrotizing scleritis and optic neuropathy. Systemic evaluation and laboratory investigations revealed findings consistent with Churg-Strauss syndrome. Systemic corticosteroids therapy produced dramatic improvement in visual symptoms.


CONCLUSIONS
Churg-Strauss syndrome should be considered in any patient who develops surgically induced necrotizing scleritis and/or optic neuropathy after pars plana vitrectomy. Prompt and aggressive treatment with systemic corticosteroids can result in marked improvement.
From the *Pacific Vision Foundation, California Pacific Medical Center, San Francisco; †West Coast Retina Medical Group, Inc., San Francisco; and ‡Department of Opthalmology, Stanford University School of Medicine, Stanford, California.
Robert W
RW
Wong
H Richard
HR
McDonald
J Michael
JM
Jumper
Arthur
A
Fu
Robert
R
Johnson
Everett
E
Ai
Emmett T
ET
Cunningham