The treatment of necrotizing scleritis with an autogenous periosteal graft.

We used autogenous periosteum to reinforce scleral defects in two patients with necrotizing scleritis. This technique produced good anatomical results and maintained useful vision in each case. Autogenous periosteum offers advantages over other tissues as a tectonic graft for necrotizing scleritis, since it is easy to harvest and handle, it is strong and vascular, and is not subject to immunologic rejection.