Necrotizing Scleritis Secondary to Exposed Polypropylene Suture.

An 87-year-old woman was referred for presumed left eye scleritis that had been unresponsive to 1 week of high-dose oral prednisone. Evaluations for systemic autoimmune causes were negative. Superior scleral necrosis with surrounding erythema was noted (Fig A). Upper eyelid eversion disclosed a polypropylene suture protruding from the palpebral conjunctiva (Fig B). On further questioning, the patient stated that she had undergone ptosis repair 1 year prior. The suture was removed and was positive for Staphylococcus lugdunensis on culture.