原创力文档necrotizing scleritis as a complication of cosmetic eye whitening procedure坏死性巩膜炎的并发症美容眼部美白过程.pdfVIP
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necrotizing scleritis as a complication of cosmetic eye whitening procedure坏死性巩膜炎的并发症美容眼部美白过程
Leung et al. Journal of Ophthalmic Inflammation and Infection 2013, 3:39
/content/3/1/39
BRIEF REPORT Open Access
Necrotizing scleritis as a complication of cosmetic
eye whitening procedure
1,4* 1 2 1,3,4*
Theresa G Leung , James P Dunn Jr , Esen K Akpek and Jennifer E Thorne
Abstract
Background: We report necrotizing scleritis as a serious complication of a cosmetic eye whitening procedure that
involves the use of intraoperative and postoperative topical mitomycin C.
Findings: This is a single case report. A 59-year-old Caucasian male with a history of blepharitis status post
uncomplicated LASIK refractive surgery reported chronic conjunctival hyperemia for 15 years prior to undergoing a
cosmetic eye whitening procedure. He presented to our clinic 12 months after the cosmetic eye whitening
procedure with progressive bilateral necrotizing scleritis and scleral calcification.
Conclusions: Chronic conjunctival hyperemia may prompt patients to seek surgical correction with cosmetic eye
whitening procedures. However, conjunctival hyperemia secondary to tear deficiency and evaporative dry eye may
predispose to poor wound healing. Serious complications including necrotizing scleritis may result from cosmetic
eye whitening procedures and the use of topical mitomycin C.
Keywords: Necrotizing scleritis, I-BRITE, Cosmetic eye whitening, Mitomycin C
Findings Institute, Inc., Seoul, South Korea) [3]. Postoperative
Introduction management includes topical application of 0.02%
Cosmetic eye whitening procedures are a relatively new mito
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