Evidence map›Paper›PMID 38060142›Full record

ArticleJournal of ophthalmic inflammation and infection2023

Surgical induced necrotizing scleritis following intraocular lens replacement.

Pablo González de Los Mártires, Gonzalo Guerrero Pérez, Iñigo Les Bujanda, Iñaki Elejalde Guerra, Henar Heras Mulero, Esther Compains Silva

Open access · goldAbstract read
In one paragraph

Article in Journal of ophthalmic inflammation and infection, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. [Research progress and applications of biologically derived materials in scleral reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Pablo González de Los MártiresDepartment of Ophthalmology, Hospital Universitario de Navarra, Pamplona, Navarra, Spain. pgmartires@riojasalud.es.
Gonzalo Guerrero PérezDepartment of Ophthalmology, Hospital Universitario de Navarra, Pamplona, Navarra, Spain.
Iñigo Les BujandaDepartment of Internal Medicine, Hospital Universitario de Navarra, Pamplona, Navarra, Spain.
Iñaki Elejalde GuerraDepartment of Internal Medicine, Hospital Universitario de Navarra, Pamplona, Navarra, Spain.
Henar Heras MuleroDepartment of Ophthalmology, Hospital Universitario de Navarra, Pamplona, Navarra, Spain.
Esther Compains SilvaDepartment of Ophthalmology, Hospital Universitario de Navarra, Pamplona, Navarra, Spain.
Universidad de Navarra · ESDiasa Industrial (Spain) · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report a surgical-induced necrotizing scleritis, as well as its medical and surgical management.

methodsCase-report.

resultsAn 88 year-old patient with a three-day severe single-left-eye ocular pain. One-time surgery involving PPV with removal of dislocated intraocular lens and secondary implantation of iris-claw Artisan® lens was performed 6 months earlier. Visual acuity of 20/100. Slit-lamp examination revealed a 5 × 2 mm non-suppurative superior scleral defect. Empirical topical antibiotic treatment with dexamethasone, as well as oral doxycycline was started. Infectious and autoimmune diseases were ruled out. Non-infectious scleritis treatment was conducted with intravenous Methylprednisolone 3 day pulses, followed by weekly tapered Prednisone and intramuscular Methotrexate. However, 1 month after the diagnosis, the defect was worsened; hence, a heterologous scleral patch graft was performed and, days after the intervention, Adalimumab was initiated. To date, 6 months later, remains with proper scleral patch, a diary low-dose Prednisone, and spacing Adalimumab treatment.

conclusionSurgery-induced necrotizing scleritis is a severe condition that compromise the ocular and visual integrity. Proper diagnosis, as well as early treatment is required to achieve remission, prevent relapses, and avoid structural complications. In refractory cases, anti-TNF-α immunotherapy associated with surgical tectonic graft interventions can achieve promising results.

Indexed as

AdalimumabAnterior segment inflammationAnti-TNF-αScleral patch graftSurgery-induced necrotizing scleritis

Identifiers

PMID38060142
PMCPMC10703746
OpenAlexW4389445549

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.