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 was52.3±19.75years. Twelve patients (70.6%) had history of trauma/prior surgery. Isolated organisms includedStaphylococcusspecies (spp)(n=5), Fungus(n=4),Nocardiaspp(n=3), two each of atypicalMycobacteriumspp andStreptococcus pneumoniaeand onePseudomonas 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 of1.77±1.40and improved to0.99±0.91.(P≤0.039)after treatment with a mean follow up of22.57±19.53weeks. A microbiological confirmation, appropriate medical and/or surgical intervention has a good tectonic and visual outcome.