Dr. Aravind Roy

DR. MURTHY SOMASHEILA I., Dr.Savitri Sharma

Abstract

Purpose: To study the clinical features and management of infectious scleritis.

Methods: Retrospective chart review from Jan 2005 to Dec 2021.

Results: We studied 82 eyes of 82 patients. Demographics included males(n=65), agricultural workers(n=37), systemic disease(n=35), history of eye surgery/trauma(n=45). Most common presentation was watering, redness and pain of 1 day to 6 months duration(n=68). Presenting VA was <20/200 in 61 eyes. Causative organisms were bacteria 57, fungus 13, acanthamoeba 4, and mixed infection 8. Odds of concomitant corneal involvement(n=37) was 2.46 (95% CI 1.32-5.25, p 0.0056). Scleral deroofing was done in 44 eyes, patch graft/keratoplasty in 18 eyes. All except, 11 eyes that were eviscerated, resolved with a mean duration of 7.41 weeks of treatment. Conclusions: Infectious scleritis leads to a chronic ocular infection. There is significant chance concomitant keratitis. Intensive antimicrobial treatment and early surgical debridement can salvage eyes.

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