Case Report
Vipul Bhandari, Jnaneshwar
Abstract
Introduction: Surgically induced necrotizing sclerokeratitis (SINS) is a destructive form of scleritis. Presentation of Case: We report two cases of necrotising scleritis after inferior 180 degrees trans-scleral cyclophotocoagulation (TSCPC). Both patients presented after one week with symptoms of pain and redness. We tried a novel therapy of surgical patch graft rather than systemic steroid therapy. Discussion: High dose pulse systemic steroid with gradual tapering is the initial treatment for which majority cases respond. Some cases do require systemic immunosuppression by drugs other than steroids. We tried a novel therapy of surgical patch graft rather than systemic steroid therapy. Conclusion: Scleral patch graft is a novel treatment in the management of post-TSCPC SINS.