[Diagnosis and treatment approach for necrotizing scleritis (NS): A clinical case].
Necrotizing scleritis is an immune-mediated ocular inflammatory process, characterized by an area of avascular necrosis and a profound inflammation of the sclera and episclera. Necrotizing scleritis and its association with peripheral ulcerative keratitis--necrotizing sclerokeratitis (NS)--represents a serious threat for vision and eye integrity, evolves very fast if untreated, and its finding suggests the presence of a potentially lethal systemic vasculitic process. The following case is an example of the diagnostic approach and therapeutic scale in a 63-year-old women with necrotizing sclerokeratitis.
Instituto de Oftalmología y Ciencias Visuales, Servicio de Córnea y Cirugía Refractiva, Escuela de Medicina del Tecnológico de Monterrey, Monterrey, N.L., México.
Julio C
JC
Hernández-Camarena
Instituto de Oftalmología y Ciencias Visuales, Servicio de Uveítis e Inmunología Ocular, Escuela de Medicina del Tecnológico de Monterrey, Monterrey, N.L., México.
Alejandro
A
Rodríguez-García
Instituto de Oftalmología y Ciencias Visuales, Servicio de Córnea y Cirugía Refractiva, Escuela de Medicina del Tecnológico de Monterrey, Monterrey, N.L., México.
Jorge
J
Valdez-García
D005260:Female; D006801:Humans; D008875:Middle Aged; D015423:Scleritis / Q000175:diagnosis / Q000188:drug therapy