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Arch Ophthalmol. 2002;120:1093-1094.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Infectious scleritis, typically occurring in eyes having predisposing risk factors, is vision-threatening. We present a case of infectious scleritis after chemotherapy, which, to our knowledge, has not been previously reported as a risk factor.

Report of a Case

A 58-year-old woman manifested symptoms of a red, painful right eye for 1 day. Four months previously, she had undergone right mastectomy for breast cancer and was receiving chemotherapy with cyclophosphamide and epidoxorubicin. She had completed the fifth course of chemotherapy 3 weeks before this visit. Her medical history, including surgery and trauma, was otherwise unremarkable.

At presentation, slitlamp examination showed conjunctival congestion with a 2 x 2-mm scleral nodule surrounded by episcleral vessels (Figure 1A). Other ocular findings were unremarkable. Infectious scleritis was suspected. She was placed on a regimen of fortified topical cefazolin sodium (25 mg/mL) and gentamicin sulfate (14 mg/mL) every hour and systemic gentamicin sulfate, (60 mg) every 8 hours. . . . [Full Text of this Article]

Comment
Corresponding author and reprints: Ching-Hsi Hsiao, MD, Department of Ophthalmology, Chang Gung Memorial Hospital, No. 199, Tung Hwa North Road, Taipei 105, Taiwan, Republic of China (e-mail: qq_hsiao@yahoo.com).

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