Surgical Management of Necrotizing Scleritis: Scleral Reinforcement With Autogenous Periosteum

• We successfully used autogenous periosteum to reinforce the weakened sclera of two patients with necrotizing scleritis. One of these patients previously had an onlay scleral graft made from homologous banked sclera, which had subsequently melted. Autogenous periosteum is suggested as an alternative to banked sclera for scleral reinforcement. ( Arch Ophthalmol 95:2038-2040, 1977)