Articles Vol. 67 No. CĐ11-NCKH 01/08/2026

CASES REPORT: INFECTIOUS FUNGAL SCLERITIS FOLLOWING PTERYGIUM SURGERY

La Van Long1, Le Xuan Cung2,3, Duong Mai Nga2,3
1 Đại học Y Hà Nội
2 Vietnam National Institute of Ophthalmology
3 Bệnh viện Mắt Trung ương
DOI: 10.52163/yhc.v67iCD11.6095
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Keywords
infectious scleritis, fungal scleritis, pterygium surgery.
Abstract

Scleritis is a rare inflammatory ocular disease characterized by intense inflammation and severe ocular pain. The condition is highly destructive to ocular tissues; without timely diagnosis and intervention, it can lead to devastating complications, including permanent vision loss. We report two clinical cases of necrotizing fungal scleritis following pterygium surgery, with diagnoses confirmed through microbiological testing. Both patients presented with severe pain occurring between ten days and fourteen days post-operatively, showing no response to initial treatment with antibiotics and corticosteroids. The scleritis lesions originated at the surgical site and expanded circumferentially along the anterior sclera. Both patients were successfully managed using a multimodal treatment approach, comprising surgical debridement of necrotic scleral and conjunctival tissues (leaving the sclera bare) combined with intensive topical and systemic antifungal therapy. 

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