Different management strategies of scleral necrosis

Abstract

Surgically induced necrotizing scleritis is a rare complication of ocular surgeries. Mitomycin C (MMC) when used intraoperatively may be related to serious postoperative complications. We report management of two cases in which patients underwent pterygium excision with adjunctive use of MMC and they both developed scleral necrosis. In the first case, scleral patch grafting was performed, while the other case underwent advanced Tenon's flap with a sliding conjunctival flap. Tectonic coverage can be done by various methods such as scleral patch grafting and advanced Tenon's flap and both provide structural and functional stability to eyes with scleral defects.

Keywords

• mitomycin c
• scleral patch
• tenon's flap