Department of Ophthalmology, Columbia University, New York.
Department of Ophthalmology, Columbia University, New York.
J AAPOS. 2023 Oct;27(5):293-295. doi: 10.1016/j.jaapos.2023.07.003. Epub 2023 Aug 23.
Surgically induced necrotizing scleritis (SINS) is an uncommon but devastating complication that may occur days to years after ocular surgery. We report the case of a 32-year-old man who underwent uncomplicated strabismus surgery for large-angle exotropia and developed SINS characterized by painless scleral inflammation, choroidal exposure, and globe ectasia within days of surgery. Work-up revealed no associated infectious process or underlying systemic inflammatory condition. Clinical resolution occurred with oral immunosuppression alone, without need for graft.
手术相关性坏死性巩膜炎（SINS）是一种少见但具破坏性的并发症，可能在眼部手术后数天至数年后发生。我们报告了一例 32 岁男性的病例，他因大角度外斜视接受了简单的斜视手术，术后数天内出现了 SINS，表现为无痛性巩膜炎、脉络膜暴露和眼球扩张。检查未发现相关感染过程或潜在的系统性炎症性疾病。单纯口服免疫抑制治疗即可使病情缓解，无需行移植物治疗。
