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This article has been peer reviewed. It was published in: American Journal of Ophthalmology Case Reports.

Volume 21, March 2021, Article number 101013.

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Copyright © 2021 The Authors

This is an open access article under the CC BY license (


Purpose: To report the outcomes of two cases of infectious scleritis with severe scleral thinning managed using combined mechanical debridement, cryopreserved umbilical amnion (UA) and amniotic membrane (AM) grafts, and antimicrobial therapy.

Observations: Two patients presented with severe infectious scleritis with progressive scleral melts secondary to Pseudomonas aeruginosa subsequent to pterygium surgery and intravitreal injection, respectively. Surgical debridement was followed by UA grafting, AM transplantation, and antimicrobial therapy. Epithelialization and vascularization were seen within 1–4 weeks post-operatively. At last follow up of 5–6 months, the structural integrity of the sclera remained preserved with no infection recurrence, graft necrosis, or wound dehiscence.

Conclusions and importance: This case series highlights the utilization of UA grafting along with AM trans-plantation and topical and systemic antibiotics to preserve the globe in cases of severe infectious scleritis.

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