# 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.

## Key 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.