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Clinical course of infectious scleritis

Poster Details

First Author: W.Lee SOUTH KOREA

Co Author(s):    T. Kang   S. Choi   J. Lee              

Abstract Details


Infectious scleritis is an uncommon disease that is known to have a poor prognosis. We report the clinical features and treatment outcome of patients with infectious scleritis.


Chungnam national university hospital


A retrospective review of 7 patients with culture-proven infectious scleritis from April 2014 to March 2018 was performed.


All patients had history of pterygium operation and the mean age was 70.4 years. Patients referred to our clinic presented with severe pain and 360-degree(n=4) or nasal(n=3) chemosis in the previously operated eyes. Underlying systemic diseases were as follows: myelodysplastic syndrome(n=1) and epilepsy(n=1). Bacterial(n=2), fungal(n=2), and mixed bacterial and fungal infections(n=3) were confirmed from the cultures of infected tissues. The authors performed local and systemic antimicrobial treatment with surgical intervention such as amniotic membrane transplantation(n=5), calcium plaque removal(n=4), scleral graft(n=3), scleral drainage(n=2), and cryotherapy(n=1). After average 3 months of therapy, the infection was controlled.


Previous pterygium surgery was the predisposing condition for the infectious scleritis in this report. The clinical course of infectious scleritis was progressive with the lesion propagating to the adjacent area. Intensive long-term antimicrobial therapy, including proper surgical intervention, could lead to the control of infectious scleritis.

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