Foreign body induced granuloma associated scleritis followin
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Nowadays, pterygium surgery with simple excision, or bare sclera surgery, is no longer recommended due to high recurrence rates. Excision followed by anatomical reconstruction with conjunctival autograft is currently the mainstay therapy. It is considered a safe procedure, with a quick learning curve and is performed in a short period of time, with serious complications being very rare. Necrotizing anterior scleritis is a serious threat to the integrity of the eye and can occur following a surgical procedure where the sclera has been dissected and cauterized, such as filtering surgery in glaucoma and pterygium surgery. It may also be associated with a granulomatous response to a scleral foreign body.

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