2023/01/30 by Raul E. Ruiz‐Lozano, Alejandro Rodríguez-García, Ruiz-Lozano, Raul E. +5
Medicine · #Infectious Diseases and Tuberculosis #Medicine and health #Ocular Diseases and Behçet’s Syndrome #Ocular Infections and Treatments #antitubercular therapy #infectious scleritis #necrotizing scleritis #ocular tuberculosis #pterygium surgery #scleral inflammation #surgically induced scleral necrosis
paper · doi:10.3205/oc000212
openalex publication_date 2023/01/30 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/01
Objective: Surgically induced scleral necrosis (SISN) is a potentially blinding sequela that may occur after any ocular procedure. SISN in the context of active tuberculosis is seldom seen. We report a case of a patient with asymptomatic tuberculosis who developed SISN after pterygium surgery. Methods: A 76-year-old Mexican-mestizo woman from Veracruz, Mexico, was referred to our clinic because of severe disabling pain and scleral thinning in her right eye. Results: Tubercular-related SISN was finally diagnosed and managed successfully with antitubercular therapy, topical and systemic corticosteroids. Conclusion: Tuberculosis must be considered as a differential diagnosis of high-risk patients in the context of refractory SISN in endemic countries.