Volume 5, Issue 2, June 2020, Page: 61-65
Infectious Scleritis: Clinicomicrobiological Review of Infectious Scleritis
Anjana Somanath anjana471306@gmail.com, Department of Uvea, Aravind Eye Care System, Madurai, India
Raksheeth Rajgopal Nathan , Department of Uvea, Aravind Eye Care System, Madurai, India
Lalitha Prajna , Department of Microbiology, Aravind Eye Care System, Madurai, India
Rathinam Sivakumar , Department of Uvea, Aravind Eye Care System, Madurai, India
Received: Apr. 5, 2020;       Accepted: Apr. 29, 2020;       Published: May 27, 2020
DOI: 10.11648/j.ijovs.20200502.15      View  202      Downloads  51
Abstract
Infectious scleritis due to an infective etiology can occur following accidental trauma or surgery. However, the clinical manifestations of infectious scleritis may be similar to immune mediated scleritis. Infectious scleritis is treated with antibiotic therapy and surgical intervention if required. Treatment with corticosteroids and immunosuppressives may clinically worsen the infectious scleritis. Hence a careful clinical evaluation is necessary to rule out infectious etiology before treatment. Poor prognosis is due to delay in diagnosis and treatment. This study aimed to analyse the risk factors, clinical outcome and treatment in patients with infectious scleritis. A retrospective study was done from January 2013 to December 2018. This study includes 11 eyes. Microbiology analysis was done on the drained material. 11 eyes were culture positive. They were treated according to culture sensitivity. One eye worsened clinically and required enucleation. However, the other eyes improved and visual acuity was maintained in the 10 eyes. In our study, trauma was the most common cause of infectious scleritis. The common organisms were Nocardia, coagulase negative Staphylococcus aureus and fungi. To conclude, trauma was the most common cause of infectious scleritis in our study. Therefore, early diagnosis and treatment can lead to a reduced rate of complication.
Keywords
Fungus, Infectious Scleritis, Microbiological Profile of Scleritis, Scleral, Abscess, Trauma
To cite this article
Anjana Somanath anjana471306@gmail.com, Raksheeth Rajgopal Nathan , Lalitha Prajna , Rathinam Sivakumar , Infectious Scleritis: Clinicomicrobiological Review of Infectious Scleritis, International Journal of Ophthalmology & Visual Science. Vol. 5, No. 2, 2020, pp. 61-65. doi: 10.11648/j.ijovs.20200502.15
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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