Surgically induced necrotizing scleritis and optic neuropathy after pars plana vitrectomy as presenting signs of churg-strauss syndrome.

PURPOSE: To report a case of surgically induced necrotizing scleritis and optic neuropathy after pars plana vitrectomy as presenting signs of Churg-Strauss syndrome.

METHOD: Case report.

RESULTS

A 59-year-old Asian man underwent a 20-gauge pars plana vitrectomy to remove a posteriorly dislocated intraocular lens. During follow-up, he developed unilateral necrotizing scleritis and optic neuropathy. Systemic evaluation and laboratory investigations revealed findings consistent with Churg-Strauss syndrome. Systemic corticosteroids therapy produced dramatic improvement in visual symptoms.

CONCLUSION

Churg-Strauss syndrome should be considered in any patient who develops surgically induced necrotizing scleritis and/or optic neuropathy after pars plana vitrectomy. Prompt and aggressive treatment with systemic corticosteroids can result in marked improvement.