Abstract

Purpose: To report the outcomes of active infective scleritis with severe scleral thinning managed by scleral debridement with umbilical amnion patch graft.
Methods: Patients with active infective scleritis with severe scleral thinning were treated with scleral debridement followed by umbilical amnion patch graft. Clinical outcomes in terms of resolution of infection and tectonic integrity were analysed.
Results: In all cases, complete resolution of the infection with epithelialization and vascularization of the graft was seen within one month of postoperative period. At three months follow-up, the structural integrity of the sclera remained preserved with no infection recurrence, graft necrosis or wound dehiscence.
Conclusions: An umbilical amnion is a viable option after debridement of necrotic sclera due to infective scleritis. Due to its anti-inflammatory property and good tensile strength, it not only hastens the healing process but also provides optimum tectonic support.