Refractory necrotizing scleritis successfully treated with a
"Case 1
A 40-year-old lady presented with a history of scleritis for which she was on oral prednisolone for over 1 year with doses ranging from 10 to 80 mg per day. She had pain and discomfort. Her visual acuity was 6/6 and posterior segment was normal. Examination revealed an area of scleral necrosis.
Case 2
A 52-year-old lady with known rheumatoid arthritis and refractory necrotizing scleritis poorly controlled with oral prednisolone 10–80 mg and oral methotrexate 15 mg once a week was referred for treatment. Her visual acuity was 6/9 in both eyes. Slit lamp examination revealed acute scleral necrosis and impending perforation"...

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