Abstract
The article presents a rare case of necrotizing scleritis in a 59-year-old patient at Russian Center for Eye and Plastic Surgery. The patient had suffered for six months from rheumatic episcleritis, complicated by keratitis, iridocyclitis and necrotizing scleritis that did not exclude the presence of Franceschetti – Bischler syndrome. Due to the refractive course and the development pf conjunctival and scleral necrosis, the patient underwent a surgical procedure at his local health facility – conjunctival repair with interrupted sutures. Unfortunately, within a week the conjunctival sutures came apart, given the large size of the conjunctival defect (1.1 sm ×4 mm), the patient underwent reoperation at the Russian Center for Eye and Plastic Surgery – surgical removal of necrotic tissue with the subsequent immobilization and conjunctival closure by allotendinous threads and interrupted sutures. Positive effect was observed. Key words:necrotizing scleritis, keratitis, iridocyclitis, Franceschetti – Bischler syndrome, surgical treatment, allotendinous threads.
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