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Case report
sonya mabrouk
Institut Hedi Rais d'Ophtalmologie
Corresponding Author
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Background
To report the case of a surgical-induced necrotizing sclertitis (SINS) following vitreoretinal retinal surgery for rhegmatogenous retinal detachment, successfully managed by superficial muscle temporal fascia grafting.
Case presentation
An 18-year-old teenage, with a history of a twenty-three gauges vitrectomy with silicone oil tamponade forrhegmatogenous retinal detachment of the left eye presented two months after surgery with intense left ocular pain, decreased visual acuity to counting fingers and eye redness. Split lamp exam showed: conjunctival infiltration with silicone oil, circumferential sclera thinningpredominantly in the superonasal quadrant with ectasia of the underling uvea). The fundus examination showed an attached retina.
Necrotizing scleritis was the retained diagnosis. Performed etiological assessment was negative.Surgical induced necrotizing scleritis was the final diagnosis. An immunosuppressive therapy based on general corticoids was started. With the immanent risk of globe perforation, superficial muscle temporal fascia grafting was performed to cover the necrotizing sclera.The patient did well postoperatively without sclera thinning or ectasia and the fascia grafting still intact without retraction after six months of follow up.
Conclusion
This is the first case in the literature thatused the superficial temporal muscle fascia as a graft for sclera reinforcement in SINS. Wepropose a new support to reinforce the deficient sclera.This graft must be associated with prompt immunosuppressive therapy at high doses.
Keywords
Necrositing scleritis, surgery induced, graft, transplantation, superficial temporal muscle
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Case report
sonya mabrouk
Institut Hedi Rais d'Ophtalmologie
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 02 Apr, 2019
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Internal Medicine Specialties
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
To report the case of a surgical-induced necrotizing sclertitis (SINS) following vitreoretinal retinal surgery for rhegmatogenous retinal detachment, successfully managed by superficial muscle temporal fascia grafting.
Case presentation
An 18-year-old teenage, with a history of a twenty-three gauges vitrectomy with silicone oil tamponade forrhegmatogenous retinal detachment of the left eye presented two months after surgery with intense left ocular pain, decreased visual acuity to counting fingers and eye redness. Split lamp exam showed: conjunctival infiltration with silicone oil, circumferential sclera thinningpredominantly in the superonasal quadrant with ectasia of the underling uvea). The fundus examination showed an attached retina.
Necrotizing scleritis was the retained diagnosis. Performed etiological assessment was negative.Surgical induced necrotizing scleritis was the final diagnosis. An immunosuppressive therapy based on general corticoids was started. With the immanent risk of globe perforation, superficial muscle temporal fascia grafting was performed to cover the necrotizing sclera.The patient did well postoperatively without sclera thinning or ectasia and the fascia grafting still intact without retraction after six months of follow up.
Conclusion
This is the first case in the literature thatused the superficial temporal muscle fascia as a graft for sclera reinforcement in SINS. Wepropose a new support to reinforce the deficient sclera.This graft must be associated with prompt immunosuppressive therapy at high doses.
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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