Clinico-microbiological profile and treatment outcome of infectious scleritis: Experience from a tertiary eye care center of India

Abstract

Medical and microbiology records of seventeen patients (17 eyes), diagnosed as scleritis of infectious origin were reviewed; to study clinical features, predisposing risk factors, microbiologic profile and treatment outcome of infectious scleritis. The mean patient age was 52.3±19.75 years. Twelve patients (70.6) had history of trauma/prior surgery. Isolated organisms included Staphylococcus species (spp) (n=5), Fungus (n=4), Nocardia spp (n=3), two each of atypical Mycobacterium spp and Streptococcus pneumoniae and one Pseudomonas aeruginosa. Treatment included intensive topical antimicrobial in all eyes and systemic medication in 15 (88.2) patients; surgical exploration was needed for 13 (76.5) patients and scleral patch graft was done in four (23.5) patients. Lesions resolved in all patients and none required evisceration. The presenting log MAR visual acuity of 1.77±1.40 and improved to 0.99±0.91. (P≤0.039) after treatment with a mean follow up of 22.57±19.53 weeks. A microbiological confirmation, appropriate medical and/or surgical intervention has a good tectonic and visual outcome. © 2012 Srikant Kumar Sahu et al.