Abstract

CORDERO-COMA, M. et al. Succesful treatment of surgically induced necrotizing sclerokeratitis (SINS) with systemic immunosuppresive agents and amniotic membrane grafting. Arch Soc Esp Oftalmol [online]. 2009, vol.84, n.11, pp.577-580. ISSN 0365-6691.

Clinical case: We report the case of a 74-year-old female who developed a necrotizing sclerokeratitis affecting her left eye after uncomplicated cataract surgery. She had no previous history of systemic autoimmune disease. Histopathology of the lesion revealed necrotic granulomatosis with an increased number of plasma cells. Discussion: Surgically induced necrotizing sclerokeratitis (SINS) is a serious entity which requires prompt and aggressive therapy to prevent its potential devastating ocular consequences. Conjunctival resection and amniotic membrane grafting may be necessary to temporarily interrupt local immunologic events in severe cases. However, associated systemic immunomodulatory therapy seems to be mandatory.

Keywords : Surgically induced necrotizing scleritis; amniotic membrane grafting; immunosuppressive agents; immunomodulation; complications after cataract surgery; uveitis.

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