A case of necrotizing scleritis with angiitis of papilla
Takano, T.; Okisaka, S.; Hamanaka, T.; Ishida, T.; Hara, J.
Nippon Ganka Gakkai Zasshi 94(4): 424-431
1990
ISSN/ISBN: 0029-0203 PMID: 2396594 Document Number: 359278
A case of a 66-year-old woman suffering from polymyalgia rheumatica with necrotizing scleritis followed central retinal artery occlusion in the left eye was studied clinico-pathologically. The left eye was enucleated because of severe pain in spite of the steroid therapy, and was examined histopathologically. The necrotic granulomatous changes of the deep sclera in the ciliary body and peripheral fundus were observed. Lymphocytes, plasma cells and epitheloid cells infiltrated in the central retinal artery at the papilla. It seemed that subconjunctival injection of steroid had induced scleral necrosis. When scleritis is very severe, it might be suggested that systemic steroid should be given in large suppressive doses.