Clinical case of scleromalacia in a patient with rheumatoid arthritis after intravitreal interventions

Abstract

One of the manifestations of scleritis is perforating scleromalacia (necrotizing anterior scleritis without inflammation), characterized by an almost complete absence of clinical manifestations and usually associated with systemic diseases or postoperative complications. Scleromalacia is a serious, progressive disease that is difficult to treat and can lead to vision loss, perforation and loss of the eye as an organ. Treatment of such patients requires an integrated approach together with rheumatologists and is difficult, despite the many already proposed methods of surgical treatment using various grafts and implants. The purpose of the presented clinical case is to increase the effectiveness of surgical treatment of scleromalacia by using a method of scleroplasty using an autograft of the temporal fascia using the example of patient K. with rheumatoid arthritis and a history of repeated to contents к содержанию microinvasive vitrectomy. Objective data of preoperative and postoperative diagnostics in the early and late postoperative periods are presented. The obtained result of the presented surgical treatment can be recommended as a method of treating scleromalacia in clinical practice. as well as postoperative diagnostics in the early and late postoperative periods. The obtained result of the presented surgical treatment can be recommended as a method of treating scleromalacia in clinical practice. Keywords: scleromalacia, rheumatoid arthritis, autograft, scleroplasty