eye eviceration due to necrotizing sclertitis after ptrygium surgery with mitomycin c after 3 years

purpose: to report a case of eviceration because of necrotizing scletitis 3 years after ptrygium surgery with mitomycin c. patient and findings: a 62-year-old diabetic woman with history of bilateral ptrygium surgery with mmc 3 years ago, was referred due to severe pain in her right eye. visual acuity was counting fingers at 2 m. there was thinning and melting of the sclera with uveal prolapse that was more severe in the right eye. the patient was admitted with a diagnosis of necrotizing scleritis. she received topical and systemic medications, but the inflammatory process progressed. eviceration of the right eye was performed. conclusion: adjunctive use of mmc can produce severe complications threatening visual acuity includes necrotizing scleritis which may eventually lead to eviceration.