Successful treatment of surgically induced necrotizing scleritis with tacrolimus
A 46‐year‐old man developed surgically induced necrotizing scleritis (SINS) 7 months following uneventful primary bare sclera pterygium excision. The patient underwent two scleral patch grafts for SINS but despite the use of cyclophosphamide and azathioprine, the scleral patch grafts failed within...
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Veröffentlicht in: | Clinical & experimental ophthalmology 2005-02, Vol.33 (1), p.98-99 |
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creator | Young, Alvin L Wong, SM Leung, Alfred TS Leung, Gloria YS Cheng, Lulu L Lam, Dennis SC |
description | A 46‐year‐old man developed surgically induced necrotizing scleritis (SINS) 7 months following uneventful primary bare sclera pterygium excision. The patient underwent two scleral patch grafts for SINS but despite the use of cyclophosphamide and azathioprine, the scleral patch grafts failed within 1 month of surgery on both occasions. Tacrolimus was used for his third scleral patch graft. No recurrence of necrotizing scleritis was observed for 2 years. Tacrolimus may be considered as a valuable adjunctive immunosuppressant in the management of resistant necrotizing scleritis. |
doi_str_mv | 10.1111/j.1442-9071.2005.00955.x |
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The patient underwent two scleral patch grafts for SINS but despite the use of cyclophosphamide and azathioprine, the scleral patch grafts failed within 1 month of surgery on both occasions. Tacrolimus was used for his third scleral patch graft. No recurrence of necrotizing scleritis was observed for 2 years. Tacrolimus may be considered as a valuable adjunctive immunosuppressant in the management of resistant necrotizing scleritis.</description><identifier>ISSN: 1442-6404</identifier><identifier>EISSN: 1442-9071</identifier><identifier>DOI: 10.1111/j.1442-9071.2005.00955.x</identifier><identifier>PMID: 15670089</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Pty</publisher><subject>FK506 ; Graft Survival - drug effects ; Humans ; Immunosuppressive Agents - therapeutic use ; Male ; Middle Aged ; Ophthalmologic Surgical Procedures - adverse effects ; patch graft ; Pterygium - surgery ; Recurrence ; Reoperation ; Sclera - transplantation ; Scleritis - drug therapy ; Scleritis - etiology ; surgically induced necrotizing scleritis ; tacrolimus ; Tacrolimus - therapeutic use</subject><ispartof>Clinical & experimental ophthalmology, 2005-02, Vol.33 (1), p.98-99</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3245-9072717ca23c0f686c2be15d52e9cde9dbce8ec9c9c24d7ae07307bfc022cf693</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1442-9071.2005.00955.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1442-9071.2005.00955.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15670089$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Young, Alvin L</creatorcontrib><creatorcontrib>Wong, SM</creatorcontrib><creatorcontrib>Leung, Alfred TS</creatorcontrib><creatorcontrib>Leung, Gloria YS</creatorcontrib><creatorcontrib>Cheng, Lulu L</creatorcontrib><creatorcontrib>Lam, Dennis SC</creatorcontrib><title>Successful treatment of surgically induced necrotizing scleritis with tacrolimus</title><title>Clinical & experimental ophthalmology</title><addtitle>Clin Exp Ophthalmol</addtitle><description>A 46‐year‐old man developed surgically induced necrotizing scleritis (SINS) 7 months following uneventful primary bare sclera pterygium excision. The patient underwent two scleral patch grafts for SINS but despite the use of cyclophosphamide and azathioprine, the scleral patch grafts failed within 1 month of surgery on both occasions. Tacrolimus was used for his third scleral patch graft. No recurrence of necrotizing scleritis was observed for 2 years. Tacrolimus may be considered as a valuable adjunctive immunosuppressant in the management of resistant necrotizing scleritis.</description><subject>FK506</subject><subject>Graft Survival - drug effects</subject><subject>Humans</subject><subject>Immunosuppressive Agents - therapeutic use</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Ophthalmologic Surgical Procedures - adverse effects</subject><subject>patch graft</subject><subject>Pterygium - surgery</subject><subject>Recurrence</subject><subject>Reoperation</subject><subject>Sclera - transplantation</subject><subject>Scleritis - drug therapy</subject><subject>Scleritis - etiology</subject><subject>surgically induced necrotizing scleritis</subject><subject>tacrolimus</subject><subject>Tacrolimus - therapeutic use</subject><issn>1442-6404</issn><issn>1442-9071</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkFFLwzAUhYMobk7_guQPtKZp0yzgi4w5heJ0KoO9hDS9nZltN5qUbf56W6czeciBc87l5kMIB8QP2nOz8oMoop4gPPApIcwnRDDm705Q_2ic_uo4IlEPXVi7Im2ShvE56gUs5oQMRR89vzZag7V5U2BXg3IlVA6vc2ybemm0Koo9NlXWaMhwBbpeO_NlqiW2uoDaOGPx1rgP7FRrFaZs7CU6y1Vh4er3HaD3-_Hb6MFLppPH0V3i6ZBGrNuQ8oBrRUNN8ngYa5pCwDJGQegMRJZqGIIW7aVRxhUQHhKe5ppQqvNYhAN0fZi7adISMrmpTanqvfz7Whu4PQS2poD9v09kh1CuZEdHdqRkh1D-IJQ7ORpPW9HWvUPdWAe7Y13VnzLmIWdy_jSR88VLMlvMEsnCb_4Pdf0</recordid><startdate>200502</startdate><enddate>200502</enddate><creator>Young, Alvin L</creator><creator>Wong, SM</creator><creator>Leung, Alfred TS</creator><creator>Leung, Gloria YS</creator><creator>Cheng, Lulu L</creator><creator>Lam, Dennis SC</creator><general>Blackwell Science Pty</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>200502</creationdate><title>Successful treatment of surgically induced necrotizing scleritis with tacrolimus</title><author>Young, Alvin L ; Wong, SM ; Leung, Alfred TS ; Leung, Gloria YS ; Cheng, Lulu L ; Lam, Dennis SC</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3245-9072717ca23c0f686c2be15d52e9cde9dbce8ec9c9c24d7ae07307bfc022cf693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>FK506</topic><topic>Graft Survival - drug effects</topic><topic>Humans</topic><topic>Immunosuppressive Agents - therapeutic use</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Ophthalmologic Surgical Procedures - adverse effects</topic><topic>patch graft</topic><topic>Pterygium - surgery</topic><topic>Recurrence</topic><topic>Reoperation</topic><topic>Sclera - transplantation</topic><topic>Scleritis - drug therapy</topic><topic>Scleritis - etiology</topic><topic>surgically induced necrotizing scleritis</topic><topic>tacrolimus</topic><topic>Tacrolimus - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Young, Alvin L</creatorcontrib><creatorcontrib>Wong, SM</creatorcontrib><creatorcontrib>Leung, Alfred TS</creatorcontrib><creatorcontrib>Leung, Gloria YS</creatorcontrib><creatorcontrib>Cheng, Lulu L</creatorcontrib><creatorcontrib>Lam, Dennis SC</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Clinical & experimental ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Young, Alvin L</au><au>Wong, SM</au><au>Leung, Alfred TS</au><au>Leung, Gloria YS</au><au>Cheng, Lulu L</au><au>Lam, Dennis SC</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful treatment of surgically induced necrotizing scleritis with tacrolimus</atitle><jtitle>Clinical & experimental ophthalmology</jtitle><addtitle>Clin Exp Ophthalmol</addtitle><date>2005-02</date><risdate>2005</risdate><volume>33</volume><issue>1</issue><spage>98</spage><epage>99</epage><pages>98-99</pages><issn>1442-6404</issn><eissn>1442-9071</eissn><abstract>A 46‐year‐old man developed surgically induced necrotizing scleritis (SINS) 7 months following uneventful primary bare sclera pterygium excision. The patient underwent two scleral patch grafts for SINS but despite the use of cyclophosphamide and azathioprine, the scleral patch grafts failed within 1 month of surgery on both occasions. Tacrolimus was used for his third scleral patch graft. No recurrence of necrotizing scleritis was observed for 2 years. Tacrolimus may be considered as a valuable adjunctive immunosuppressant in the management of resistant necrotizing scleritis.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Pty</pub><pmid>15670089</pmid><doi>10.1111/j.1442-9071.2005.00955.x</doi><tpages>2</tpages></addata></record> |
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subjects | FK506 Graft Survival - drug effects Humans Immunosuppressive Agents - therapeutic use Male Middle Aged Ophthalmologic Surgical Procedures - adverse effects patch graft Pterygium - surgery Recurrence Reoperation Sclera - transplantation Scleritis - drug therapy Scleritis - etiology surgically induced necrotizing scleritis tacrolimus Tacrolimus - therapeutic use |
title | Successful treatment of surgically induced necrotizing scleritis with tacrolimus |
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