International Journal of Ophthalmology & Visual Science

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Infectious Scleritis: Clinicomicrobiological Review of Infectious Scleritis

Received: Apr. 05, 2020    Accepted: Apr. 29, 2020    Published: May 27, 2020
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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.

DOI 10.11648/j.ijovs.20200502.15
Published in International Journal of Ophthalmology & Visual Science ( Volume 5, Issue 2, June 2020 )
Page(s) 61-65
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Fungus, Infectious Scleritis, Microbiological Profile of Scleritis, Scleral, Abscess, Trauma

References
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[4] Pradhan ZS, Jacob P. Infectious scleritis: clinical spectrum and management outcomes in India. Indian J Ophthalmol. 2013; 61: 590–593.
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Cite This Article
  • APA Style

    Anjana Somanath, Raksheeth Rajgopal Nathan, Lalitha Prajna, Rathinam Sivakumar. (2020). Infectious Scleritis: Clinicomicrobiological Review of Infectious Scleritis. International Journal of Ophthalmology & Visual Science, 5(2), 61-65. https://doi.org/10.11648/j.ijovs.20200502.15

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    ACS Style

    Anjana Somanath; Raksheeth Rajgopal Nathan; Lalitha Prajna; Rathinam Sivakumar. Infectious Scleritis: Clinicomicrobiological Review of Infectious Scleritis. Int. J. Ophthalmol. Vis. Sci. 2020, 5(2), 61-65. doi: 10.11648/j.ijovs.20200502.15

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    AMA Style

    Anjana Somanath, Raksheeth Rajgopal Nathan, Lalitha Prajna, Rathinam Sivakumar. Infectious Scleritis: Clinicomicrobiological Review of Infectious Scleritis. Int J Ophthalmol Vis Sci. 2020;5(2):61-65. doi: 10.11648/j.ijovs.20200502.15

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  • @article{10.11648/j.ijovs.20200502.15,
      author = {Anjana Somanath and Raksheeth Rajgopal Nathan and Lalitha Prajna and Rathinam Sivakumar},
      title = {Infectious Scleritis: Clinicomicrobiological Review of Infectious Scleritis},
      journal = {International Journal of Ophthalmology & Visual Science},
      volume = {5},
      number = {2},
      pages = {61-65},
      doi = {10.11648/j.ijovs.20200502.15},
      url = {https://doi.org/10.11648/j.ijovs.20200502.15},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijovs.20200502.15},
      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.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Infectious Scleritis: Clinicomicrobiological Review of Infectious Scleritis
    AU  - Anjana Somanath
    AU  - Raksheeth Rajgopal Nathan
    AU  - Lalitha Prajna
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    DO  - 10.11648/j.ijovs.20200502.15
    T2  - International Journal of Ophthalmology & Visual Science
    JF  - International Journal of Ophthalmology & Visual Science
    JO  - International Journal of Ophthalmology & Visual Science
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    PB  - Science Publishing Group
    SN  - 2637-3858
    UR  - https://doi.org/10.11648/j.ijovs.20200502.15
    AB  - 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.
    VL  - 5
    IS  - 2
    ER  - 

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Author Information
  • Department of Uvea, Aravind Eye Care System, Madurai, India

  • Department of Uvea, Aravind Eye Care System, Madurai, India

  • Department of Microbiology, Aravind Eye Care System, Madurai, India

  • Department of Uvea, Aravind Eye Care System, Madurai, India

  • Section