Necrotizing scleritis as a complication of cosmetic eye whitening procedure

Theresa G. Leung, James P. Dunn, Esen K. Akpek, Jennifer E. Thorne

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Background: We report necrotizing scleritis as a serious complication of a cosmetic eye whitening procedure that involves the use of intraoperative and postoperative topical mitomycin C. Findings: This is a single case report. A 59-year-old Caucasian male with a history of blepharitis status post uncomplicated LASIK refractive surgery reported chronic conjunctival hyperemia for 15 years prior to undergoing a cosmetic eye whitening procedure. He presented to our clinic 12 months after the cosmetic eye whitening procedure with progressive bilateral necrotizing scleritis and scleral calcification. Conclusions: Chronic conjunctival hyperemia may prompt patients to seek surgical correction with cosmetic eye whitening procedures. However, conjunctival hyperemia secondary to tear deficiency and evaporative dry eye may predispose to poor wound healing. Serious complications including necrotizing scleritis may result from cosmetic eye whitening procedures and the use of topical mitomycin C.

Original languageEnglish (US)
Article number39
Pages (from-to)1-4
Number of pages4
JournalJournal of Ophthalmic Inflammation and Infection
Issue number1
StatePublished - 2013


  • Cosmetic eye whitening
  • Mitomycin C
  • Necrotizing scleritis

ASJC Scopus subject areas

  • Ophthalmology
  • Infectious Diseases


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