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  • Title: Atypical pneumococcal scleritis after pterygium excision: case report and literature review.
    Author: Paula JS, Simão ML, Rocha EM, Romão E, Velasco Cruz AA.
    Journal: Cornea; 2006 Jan; 25(1):115-7. PubMed ID: 16331053.
    Abstract:
    PURPOSE: To describe an unusual case of pneumococcal scleritis after pterygium excision and to review the literature on infectious scleritis associated with pterygium excision. METHODS: Case report and literature review. RESULTS: A 58-year-old white man underwent excision of a nasal pterygium of the right eye. Two weeks postoperatively, the patient developed an infectious scleritis caused by Streptococcus pneumoniae. The scleritis was complicated with hypopyon and a scleral necrosis area 6 mm away from the superior limbus with a positive Seidel test. Topical and systemic antibiotics resolved the case without any surgical procedures. CONCLUSION: Streptococcus pneumoniae must be considered as a possible agent in cases of necrotizing scleritis associated with pterygium excision.
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