Autologous fascia lata grafts for scleral repair in eyes with infectious necrotizing scleritis.

Infectious necrotizing scleritis is a rare but devastating disease that often develops after trauma or surgery. A delay in the diagnosis or inappropriate treatment can cause a progression of the infection to scleral thinning and even perforation of the eye, resulting in endophthalmitis and blindness. For cases that do not respond to medical therapy or when the necrosis has advanced to perforation, surgical treatment is necessary to debride the septic tissues and to repair and stabilize the sclera. Here we describe the successful treatment of 2 cases of infectious necrotizing scleritis with autologous fascia lata graft transplantation.