Surgically Induced Scleral Necrosis: A Case Report

Surgically induced necrotizing scleritis (SINS) is a scleral ulceration that can occur days to years after various ocular surgeries. It is an uncommon complication that may lead to scleral perforation. We report the case of a 45-year-old diabetic male patient who underwent vitreoretinal surgery on his left eye for the treatment of a complicated diabetic retinal detachment. He presented three months after the procedure with extensive scleromalacia pre-perforans. This case highlights the risk of SINS following ocular surgery. Therefore, patients at high risk of developing SINS should be identified before undergoing any sclera-involving ocular procedure through thorough ophthalmic and systemic evaluation.