[Eye eviceration due to necrotizing sclertitis after ptrygium surgery with mitomycin C after 3 years]

ABSTRACT

To report a case of eviceration because of necrotizing scletitis 3 years after ptrygium surgery with mitomycin C. A 62-year-old diabetic woman with history of bilateral ptrygium surgery with MMC 3 years ago, was referred due to severe pain in her right eye. Visual acuity was counting fingers at 2 m. There was thinning and melting of the sclera with uveal prolapse that was more severe in the right eye. The patient was admitted with a diagnosis of necrotizing scleritis. She received topical and systemic medications, but the inflammatory process progressed. Eviceration of the right eye was performed. Adjunctive use of MMC can produce severe complications threatening visual acuity includes necrotizing scleritis which may eventually lead to eviceration