Title: Clinical profile and outcome of infectious scleritis
Author: Dr Rishi Gupta, MS
DOI: https://dx.doi.org/10.18535/jmscr/v7i3.252
Abstract
Purpose: To study the clinical profile and outcome of infectious scleritis.
Methods: Retrospective review of medical records of patients of infectious scleritis, from January 2016 to january 2018 at tertiary eye care center was done. Information including patient’s age, predisposing factors, clinical presentation, pathogenic organism, treatment and outcome were noted.
Results: A total of 11 eyes of infectious scleritis were identified. All eyes had preceeding predisposing factors; trauma (9 eyes) being most common followed by previous ocular surgery (3). Organisms identified in these 11 cases were; Pseudomonas (3), Fungus (3), Methicillin resistant staphylococcus epidermidis (2), Nocardia (1), Enterobacter species (1), and Methicillin sensitive staphylococcus aureus (1). Corneal involvement was seen in 4 cases in form of localized corneal infiltrate. Multifocal scleral abscess was seen in 3 eyes. During the course of treatment, 2 eyes developed serous retinal detachment and 1 eye developed localized retinitis. Mostly cases respond well to treatment.
Conclusion: Early diagnosis, appropriate antimicrobial therapy, and timely surgical intervention are essential to shorten the course of treatment and improve the final outcome of infective scleritis.
Keywords: Infectious scleritis, Pseudomonas, Fungal scleritis
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