Surgically induced scleral necrosis associated with concomitant tuberculosis infection: a diagnostic challenge.

Raul E Ruiz-Lozano, Alejandro Rodriguez-Garcia, Maria F Colorado-Zavala, Carlos Alvarez-Guzman
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Abstract

Objective: 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.

Methods: 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.

Results: Tubercular-related SISN was finally diagnosed and managed successfully with antitubercular therapy, topical and systemic corticosteroids.

Conclusion: Tuberculosis must be considered as a differential diagnosis of high-risk patients in the context of refractory SISN in endemic countries.

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手术诱发的巩膜坏死伴发结核感染:一个诊断挑战。
目的:手术性巩膜坏死(SISN)是任何眼部手术后可能发生的潜在致盲后遗症。活动性肺结核的SISN很少见到。我们报告一例无症状结核患者在翼状胬肉手术后发生SISN。方法:一名来自墨西哥韦拉克鲁斯州的76岁墨西哥混血妇女,因严重致残疼痛和右眼巩膜变薄而被转介到我们诊所。结果:结核病相关的SISN最终被诊断出来,并通过抗结核治疗、局部和全身皮质类固醇治疗成功。结论:结核病必须被视为在流行国家难治性SISN背景下高风险患者的鉴别诊断。
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