CONCLUSION
Sub-Tenon triamcinolone acetonide injection may lead to rare but severe complications like conjunctival and scleral necrosis even in children. Prompt recognition, discontinuation of steroids, ocular surface care, and prompt debridement can result in successful healing without grafting. This case emphasizes the importance of judicious use of steroids, appropriate dosing, and close postoperative observation in children to avoid severe ocular morbidity.