Surgically Induced Scleral Necrosis: A Case Report

TL;DR

This case report describes a rare complication called Surgically Induced Necrotizing Scleritis (SINS) that occurred after eye surgery in a diabetic patient.

Contribution

The paper presents a new clinical case of SINS following vitreoretinal surgery in a diabetic patient.

Findings

SINS can develop months after vitreoretinal surgery in high-risk patients.

Thorough preoperative evaluation is crucial to identify patients at risk for SINS.

Abstract

Surgically induced necrotizing scleritis (SINS) is a scleral ulceration that can occur days to years after various ocular surgeries. It is an uncommon complication that may lead to scleral perforation.

We report the case of a 45-year-old diabetic male patient who underwent vitreoretinal surgery on his left eye for the treatment of a complicated diabetic retinal detachment. He presented three months after the procedure with extensive scleromalacia pre-perforans.

This case highlights the risk of SINS following ocular surgery. Therefore, patients at high risk of developing SINS should be identified before undergoing any sclera-involving ocular procedure through thorough ophthalmic and systemic evaluation.

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