Temporal sutureless vitrectomy in infectious scleritis with retinal detachment.

We shall like to share a novel effort, in which 23-gauge sutureless vitrectomy was done using a modified approach as an eye saving procedure. A 63-year-old male was referred after a buckling surgery done 5 days back OD. The patient had a total retinal detachment along with sloughing of the sclera in the superonasal quadrant. Microbial analysis of the slough confirmed the presence Staphylococcus epidermidus. The left eye was phthisical. In view of a “ single eyed” status early intervention was planned for management of retinal detachment. Due to the location of scleritis, the pars plana port placements were refashioned temporally. The infusion cannula was inserted along the horizontal meridian and surgical ports inserted superotemporally and inferotemporally. Vitrectomy was completed with vitreous base shaving. 23 gauge ports allowed us to leave the incisions sutureless and maintain a smooth ocular surface without incising the conjunctiva. The scleritis responded to intensive topical antibiotic therapy and the patient recovered a BCVA of Snellen 4/60 at 3 months.