Ruiz-Lozano Raul E, Rodriguez-Garcia Alejandro, Colorado-Zavala Maria F, Alvarez-Guzman Carlos
Tecnologico de Monterrey, School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Monterrey, Mexico.
GMS Ophthalmol Cases. 2023 Jan 30;13:Doc04. doi: 10.3205/oc000212. eCollection 2023.
Surgically induced scleral necrosis (SISN) is a potentially blinding sequela that may occur after any ocular procedure. SISN in the context of active tuberculosis is seldom seen. We report a case of a patient with asymptomatic tuberculosis who developed SISN after pterygium surgery.
A 76-year-old Mexican-mestizo woman from Veracruz, Mexico, was referred to our clinic because of severe disabling pain and scleral thinning in her right eye.
Tubercular-related SISN was finally diagnosed and managed successfully with antitubercular therapy, topical and systemic corticosteroids.
Tuberculosis must be considered as a differential diagnosis of high-risk patients in the context of refractory SISN in endemic countries.
手术诱发的巩膜坏死（SISN）是一种潜在致盲的后遗症，可发生于任何眼科手术后。活动性肺结核背景下的SISN很少见。我们报告一例无症状肺结核患者在翼状胬肉切除术后发生SISN的病例。
一名来自墨西哥韦拉克鲁斯的76岁墨西哥梅斯蒂索女性因右眼严重致残性疼痛和巩膜变薄被转诊至我们的诊所。
最终诊断为结核相关的SISN，并通过抗结核治疗、局部和全身使用皮质类固醇成功治疗。
在流行国家，对于难治性SISN的高危患者，必须将肺结核视为鉴别诊断之一。
