Infectious scleritis: Clinical spectrum and management outcomes in India
In this retrospective case series, we studied the predisposing factors, causative organisms, clinical spectrum, and outcomes of 12 cases of culture-proven infectious scleritis. Nine of 12 patients had a history of preceding trauma (surgical or accidental). Past surgical history included small-incisi...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2013-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2013;volume=61;issue=10;spage=590;epage=593;aulast=Pradhan |
| _version_ | 1818514174433558528 |
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| author | Zia Sultan Pradhan Pushpa Jacob |
| author_facet | Zia Sultan Pradhan Pushpa Jacob |
| author_sort | Zia Sultan Pradhan |
| collection | DOAJ |
| description | In this retrospective case series, we studied the predisposing factors, causative organisms, clinical spectrum, and outcomes of 12 cases of culture-proven infectious scleritis. Nine of 12 patients had a history of preceding trauma (surgical or accidental). Past surgical history included small-incision cataract surgery (4), pterygium surgery (1), and trabeculectomy (1). Six patients had multifocal scleral abscesses due to Pseudomonas, Klebsiella, or Nocardia. Only 2 patients retained useful vision (>6/18). A poor visual acuity at presentation usually resulted in a worse visual outcome (P = 0.005). Four eyes developed phthisis. The addition of surgical intervention did not result in a significantly better visual outcome than medical management alone (P = 0.209), but resulted in a higher globe preservation rate (P = 0.045). Therefore, we concluded that infection must be ruled out in cases of scleritis with preceding history of trauma, and aggressive surgical intervention improves the anatomical outcome but does not change the visual outcome. |
| first_indexed | 2024-12-11T00:12:03Z |
| format | Article |
| id | doaj.art-dab44a75e2f94cbbb0e83589b9b5d92c |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-12-11T00:12:03Z |
| publishDate | 2013-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-dab44a75e2f94cbbb0e83589b9b5d92c2022-12-22T01:28:06ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892013-01-01611059059310.4103/0301-4738.121085Infectious scleritis: Clinical spectrum and management outcomes in IndiaZia Sultan PradhanPushpa JacobIn this retrospective case series, we studied the predisposing factors, causative organisms, clinical spectrum, and outcomes of 12 cases of culture-proven infectious scleritis. Nine of 12 patients had a history of preceding trauma (surgical or accidental). Past surgical history included small-incision cataract surgery (4), pterygium surgery (1), and trabeculectomy (1). Six patients had multifocal scleral abscesses due to Pseudomonas, Klebsiella, or Nocardia. Only 2 patients retained useful vision (>6/18). A poor visual acuity at presentation usually resulted in a worse visual outcome (P = 0.005). Four eyes developed phthisis. The addition of surgical intervention did not result in a significantly better visual outcome than medical management alone (P = 0.209), but resulted in a higher globe preservation rate (P = 0.045). Therefore, we concluded that infection must be ruled out in cases of scleritis with preceding history of trauma, and aggressive surgical intervention improves the anatomical outcome but does not change the visual outcome.http://www.ijo.in/article.asp?issn=0301-4738;year=2013;volume=61;issue=10;spage=590;epage=593;aulast=PradhanPosterior open globe injuriesposterior to rectus insertionzone III open globe injuriesGlaucoma severityjuvenile glaucomajuvenile-onset primary open angle glaucomavisual field defectsDiabetic retinopathyrenal transplantvisual outcomeGujaratilogMARrepeatabilityvalidityvisual acuityMultiple sclerosisoptic neuritisoptical coherence tomographyretinal nerve fi ber layervisual functionsAxon diameterelectron microscopynerve fiber layeroligodendrocytespathologyFrequency doubling technology perimetrypediatric visual field testingstandard automated perimetryCentral corneal thicknessglaucomapachymetry20G Silicone rodmonocanalicular stentcanalicular laceration repairCoat′s like responsepigmented paravenous chorioretinal atrophyRetinochoroiditis radiataDacryocystectomyoculosporidiosisRhinosporidiumInfectious scleritismicrobial scleritisocular infectionscleritis |
| spellingShingle | Zia Sultan Pradhan Pushpa Jacob Infectious scleritis: Clinical spectrum and management outcomes in India Indian Journal of Ophthalmology Posterior open globe injuries posterior to rectus insertion zone III open globe injuries Glaucoma severity juvenile glaucoma juvenile-onset primary open angle glaucoma visual field defects Diabetic retinopathy renal transplant visual outcome Gujarati logMAR repeatability validity visual acuity Multiple sclerosis optic neuritis optical coherence tomography retinal nerve fi ber layer visual functions Axon diameter electron microscopy nerve fiber layer oligodendrocytes pathology Frequency doubling technology perimetry pediatric visual field testing standard automated perimetry Central corneal thickness glaucoma pachymetry 20G Silicone rod monocanalicular stent canalicular laceration repair Coat′s like response pigmented paravenous chorioretinal atrophy Retinochoroiditis radiata Dacryocystectomy oculosporidiosis Rhinosporidium Infectious scleritis microbial scleritis ocular infection scleritis |
| title | Infectious scleritis: Clinical spectrum and management outcomes in India |
| title_full | Infectious scleritis: Clinical spectrum and management outcomes in India |
| title_fullStr | Infectious scleritis: Clinical spectrum and management outcomes in India |
| title_full_unstemmed | Infectious scleritis: Clinical spectrum and management outcomes in India |
| title_short | Infectious scleritis: Clinical spectrum and management outcomes in India |
| title_sort | infectious scleritis clinical spectrum and management outcomes in india |
| topic | Posterior open globe injuries posterior to rectus insertion zone III open globe injuries Glaucoma severity juvenile glaucoma juvenile-onset primary open angle glaucoma visual field defects Diabetic retinopathy renal transplant visual outcome Gujarati logMAR repeatability validity visual acuity Multiple sclerosis optic neuritis optical coherence tomography retinal nerve fi ber layer visual functions Axon diameter electron microscopy nerve fiber layer oligodendrocytes pathology Frequency doubling technology perimetry pediatric visual field testing standard automated perimetry Central corneal thickness glaucoma pachymetry 20G Silicone rod monocanalicular stent canalicular laceration repair Coat′s like response pigmented paravenous chorioretinal atrophy Retinochoroiditis radiata Dacryocystectomy oculosporidiosis Rhinosporidium Infectious scleritis microbial scleritis ocular infection scleritis |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2013;volume=61;issue=10;spage=590;epage=593;aulast=Pradhan |
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