English abstract
Surgically induced necrotizing scleritis (SINS) is an immune-mediated condition that
rarely occurs after ocular surgeries with a latency period of days to years. We present a case
of a 49-year-old man who developed bilateral SINS two weeks after uneventful bilateral
pterygium excision with conjunctival autografts. He was managed with a course of oral
prednisolone, topical antibiotic ointment, topical non-steroidal anti-inflammatory drugs
and lubricants, and close follow-up and rheumatological consultation.
