PURPOSE: To describe an unusual case of pneumococcal scleritis after pterygium excision and to review the literature on infectious scleritis associated with pterygium excision. METHODS: Case report and literature review. RESULTS: A 58-year-old white man underwent excision of a nasal pterygium of the right eye. Two weeks postoperatively, the patient developed an infectious scleritis caused by Streptococcus pneumoniae. The scleritis was complicated with hypopyon and a scleral necrosis area 6 mm away from the superior limbus with a positive Seidel test. Topical and systemic antibiotics resolved the case without any surgical procedures. CONCLUSION: Streptococcus pneumoniae must be considered as a possible agent in cases of necrotizing scleritis associated with pterygium excision.
PURPOSE: To describe an unusual case of pneumococcal scleritis after pterygium excision and to review the literature on infectious scleritis associated with pterygium excision. METHODS: Case report and literature review. RESULTS: A 58-year-old white man underwent excision of a nasal pterygium of the right eye. Two weeks postoperatively, the patient developed an infectious scleritis caused by Streptococcus pneumoniae. The scleritis was complicated with hypopyon and a scleral necrosis area 6 mm away from the superior limbus with a positive Seidel test. Topical and systemic antibiotics resolved the case without any surgical procedures. CONCLUSION:Streptococcus pneumoniae must be considered as a possible agent in cases of necrotizing scleritis associated with pterygium excision.
Authors: Woong Sun Yoo; Che Ron Kim; Byung Jae Kim; Seong Ki Ahn; Seong Wook Seo; Ji Myong Yoo; Seong Jae Kim Journal: Yonsei Med J Date: 2015-11 Impact factor: 2.759
Authors: Razek Georges Coussa; Susan M Wakil; Hady Saheb; David E Lederer; Karin M Oliver; Devinder P Cheema Journal: Am J Ophthalmol Case Rep Date: 2016-10-29