CASE REPORTS: Delayed presentation of surgically induced scleral necrosis after I-BRITE procedure treated with immunosuppressive therapy
Surgically induced scleral necrosis (SISN) is an uncommon complication of ocular procedures. Cosmetic eye-whitening surgery involves conjunctival and Tenon’s capsule dissection, cautery, and mitomycin C application. We report the case of a 36-year-old white woman referred to our clinic for severe pa...
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Published in | Digital journal of ophthalmology |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
11.09.2023
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Online Access | Get full text |
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Summary: | Surgically induced scleral necrosis (SISN) is an uncommon complication of ocular procedures. Cosmetic eye-whitening surgery involves conjunctival and Tenon’s capsule dissection, cautery, and mitomycin C application. We report the case of a 36-year-old white woman referred to our clinic for severe pain, scleral inflammation, and necrosis in both eyes 9 years after I-BRITE, an elective eye-whitening procedure. An extensive workup yielded negative results. The patient improved with aggressive lubrication and topical and high-dose systemic prednisone (60 mg), with recurrence upon steroid tapering. Concomitant weekly methotrexate was added, resulting in inflammatory control and allowing discontinuance of topical and oral steroids. |
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ISSN: | 1542-8958 1542-8958 |
DOI: | 10.5693/djo.02.2023.04.005 |