Trauma-Induced Necrotizing Scleritis: A Case of Successful Conservative Management

Abstract

Antara Chakraborty, Mahesh Mudi, Nikita Swain and Sankhajyoti Saha

This report describes necrotizing scleritis as a complication of direct ocular trauma and reviews its treatment in the context of the literature. The profound catastrophic version of scleritis is necrotizing scleritis, which raises the prospect of cataract and secondary glaucoma and triggers significant vision repercussions. A 45-year-old male from Odisha, presented to the eye clinic with a three-day history of redness, pain, mild swelling, photophobia and irritation in the right eye, followed by a bamboo stick injury. The initial ophthalmic examination, a preliminary identification of trauma-induced necrotizing scleritis was established disregard of the absence of infectious evidences. Treatment was commenced with topical antibiotic and steroid, topical carboxymethylcellulose, and oral aceclofenac-serratiopeptidase. The clinical insights include prompt evaluation of scleral integrity after trauma is critical, and early differentiation of infectious, autoimmune, and trauma-induced scleritis guides appropriate treatment. Contrary to autoimmune types, this detection has valuable clinical implications, advocating that assertive immunosuppressive regimens perhaps not be necessitate altogether, precisely in individuals despite any indication of systemic conditions and having a stipulated history of trauma to the eyes. The effective result in the present case—full recovery along with improved visual acuity—requires follow-up in order to ensure no subsequent complications like scleral thinning transpire.

PDF