Limits...
Scleral ulceration after vitreoretinal surgery.

Gokhale NS - Indian J Ophthalmol (2009 Jul-Aug)

Bottom Line: Determination of the underlying systemic and local causes is critical for treatment.An unusual case of ischemic scleral ulceration after vitreoretinal surgery in a diabetic patient is reported.Patient was successfully treated with a pedicle conjunctival graft.

View Article: PubMed Central - PubMed

Affiliation: Gokhale Eye Hospital and Eyebank, Anant Building, Gokhale Road (S), Dadar (West), Mumbai, India. nikgokhale@yahoo.com

ABSTRACT
Scleral ulceration after ocular surgery is a rare but serious complication. Determination of the underlying systemic and local causes is critical for treatment. An unusual case of ischemic scleral ulceration after vitreoretinal surgery in a diabetic patient is reported. Patient was successfully treated with a pedicle conjunctival graft.

Show MeSH

Related in: MedlinePlus

Preoperative picture showing scleral ulceration with exposed sclerotomy
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2712703&req=5

Figure 0001: Preoperative picture showing scleral ulceration with exposed sclerotomy

Mentions: On presentation, right eye had a vision of finger counting at one meter with accurate projection. Lids were normal, cornea was clear with few punctate erosions and a wide area of scleral ulceration was noted from 5 to 10'O clock position around the limbus [Fig. 1]. The base of the ulcer showed grey-white scleral necrosis with ischemic base but with no uveal show or purulent discharge. Sclerotomy site with a vicryl suture was visible. The conjunctiva over the ulcer was ulcerated and absent. The area around the ulcer showed conjunctival congestion but there was no evidence of scleral inflammation (deep congestion, with scleral thickening and edema in a diffuse or nodular pattern), or nodule formation. Anterior chamber was quiet, pupil was round and lens was clear. Fundus evaluation showed attached retina.


Scleral ulceration after vitreoretinal surgery.

Gokhale NS - Indian J Ophthalmol (2009 Jul-Aug)

Preoperative picture showing scleral ulceration with exposed sclerotomy
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2712703&req=5

Figure 0001: Preoperative picture showing scleral ulceration with exposed sclerotomy
Mentions: On presentation, right eye had a vision of finger counting at one meter with accurate projection. Lids were normal, cornea was clear with few punctate erosions and a wide area of scleral ulceration was noted from 5 to 10'O clock position around the limbus [Fig. 1]. The base of the ulcer showed grey-white scleral necrosis with ischemic base but with no uveal show or purulent discharge. Sclerotomy site with a vicryl suture was visible. The conjunctiva over the ulcer was ulcerated and absent. The area around the ulcer showed conjunctival congestion but there was no evidence of scleral inflammation (deep congestion, with scleral thickening and edema in a diffuse or nodular pattern), or nodule formation. Anterior chamber was quiet, pupil was round and lens was clear. Fundus evaluation showed attached retina.

Bottom Line: Determination of the underlying systemic and local causes is critical for treatment.An unusual case of ischemic scleral ulceration after vitreoretinal surgery in a diabetic patient is reported.Patient was successfully treated with a pedicle conjunctival graft.

View Article: PubMed Central - PubMed

Affiliation: Gokhale Eye Hospital and Eyebank, Anant Building, Gokhale Road (S), Dadar (West), Mumbai, India. nikgokhale@yahoo.com

ABSTRACT
Scleral ulceration after ocular surgery is a rare but serious complication. Determination of the underlying systemic and local causes is critical for treatment. An unusual case of ischemic scleral ulceration after vitreoretinal surgery in a diabetic patient is reported. Patient was successfully treated with a pedicle conjunctival graft.

Show MeSH
Related in: MedlinePlus