Necrotizing scleritis after pterygium excision with fibrin glue-fixated conjunctival autograft in Behcet's disease.


variable postoperative onset of symptoms, ranging from days to years. Conservative treatment like artificial tears and antibiotic ointments may be instituted at the clinician’s discretion for a discrete period of time while monitoring for signs of regression or progression. Implementation of autologous serum tears may also be considered, especially for cases demonstrating recalcitrance of conjunctival epithelial defect resolution. Removal of the calcific plaque also facilitates healing. In more severe cases, additional treatment options available for utilization include placement of amniotic membrane grafts, autologous conjunctival flaps, or simultaneous placement of both. Forms of tissue media available for scleral surface repair include sclera, cornea, pericardium, fascia lata, dermis, and cartilage. This case of scleral thinning illustrates a complication that can arise after the I-BRITE procedure. Comprehensive ophthalmologists should be aware of the potential risks and complications with this surgery, the surgery known as regional conjunctivectomy with MMC, and the alert issued by the ASCRS regarding the procedure.


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