Atypical pneumococcal scleritis after pterygium excision: Case report and literature review

Jayter Silva Paula, Maria Lúcia Habib Simão, Eduardo Melani Rocha, Erasmo Romão, Antonio Augusto Velasco Cruz

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)115-117
Number of pages3
JournalCornea
Volume25
Issue number1
DOIs
StatePublished - Jan 2006
Externally publishedYes

Keywords

  • Infectious scleritis
  • Pterygium
  • Streptococcus pneumoniae

ASJC Scopus subject areas

  • Ophthalmology

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