Atypical necrotizing scleritis after strabismus surgery

An 88-year-old woman developed necrotizing scleritis after eye muscle surgery. Her initial clinical presentation suggested postoperative infection, but the inflammation continued to progress despite antimicrobial therapy. The scleritis completely resolved after initiation of systemic corticosteroids. Postoperative necrotizing scleritis is a rare complication that occurs at the site of previous ocular surgery. It occurs more frequently in women with underlying systemic autoimmune disease and after multiple ocular procedures.^1,2 We report an unusual case of necrotizing scleritis with inflammation that occurred after strabismus surgery. A specific autoimmune disease was not identified.