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Case Report
 
Bilateral necrotizing sclero uveitis in a Nigerian: Management and outcome
Ogugua Ndubuisi Okonkwo1, Olufemi Adelowo2, Adekunle Olubola Hassan1, Micheal Ekwuoba Gyasi3
1Consultant Ophthalmic Surgeon, Eye Foundation Retina Institute, Eye Foundation Center for the Prevention of Blindness, Lagos, Nigeria
2Consultant and Professor of Medicine, Lagos State University College of Medicine, Lagos, Nigeria
3Consultant Ophthalmic Surgeon, Department of Ophthalmology, St Thomas Eye Hospital, Accra, Ghana

Article ID: 100892Z01OO2018
doi: 10.5348/100892Z01OO2018CR

Corresponding Author:
Ogugua Ndubuisi Okonkwo,
Eye Foundation Retina Institute,
Eye Foundation Center for the Prevention of Blindness 27 Isaac John Street GRA,
Ikeja Lagos, Nigeria

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How to cite this article
Okonkwo ON, Adelowo O, Hassan AO, Gyasi ME. Bilateral necrotizing sclero uveitis in a Nigerian: Management and outcome. Int J Case Rep Images 2018;9:100892Z01OO2018.


ABSTRACT

Introduction: The clinical entity of necrotizing sclerouveitis, though not previously reported in Nigerians and the West African region has been well documented in the literature. The condition is potentially visually debilitating.

Case Report: A 83-year-old male who presented to the Eye Foundation Hospital after several years of monitoring of his bilateral advanced glaucoma and having had bilateral cataract surgery, with progressive bilateral temporal sclera ulceration and active ocular inflammation. He was diagnosed as a case of anterior necrotizing sclerouveitis. He was co-managed with a rheumatologist and had steroids and immunosuppressive, Mycophenolate Mofetil with resultant remarkable improvement.

Conclusion: This case is presented to heighten the index of suspicion among ophthalmologists practicing in the region and to provide a guide to management.

Keywords: Glaucoma, Necrotizing, Scleritis, Sclerouveitis, Uveitis


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Author Contributions
Ogugua Ndubuisi Okonkwo – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Olufemi Adelowo – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Adekunle Olubola Hassan – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Micheal Ekwuoba Gyasi – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Consent Statement
Written informed consent was obtained from the patient for publication of this case report.
Conflict of Interest
Author declares no conflict of interest.
Copyright
© 2018 Ogugua Ndubuisi Okonkwo et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.