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Clinical characteristics and visual outcomes in infectious scleritis: a review

Authors Ramenaden ER, Raiji VR

Received 13 June 2013

Accepted for publication 11 July 2013

Published 4 November 2013 Volume 2013:7 Pages 2113—2122

DOI https://doi.org/10.2147/OPTH.S37809

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Emeline Radhika Ramenaden, Veena Rao Raiji

Department of Ophthalmology, George Washington University, Washington, DC, USA


Abstract: Infection is a very important but rare cause of scleritis, occurring in about 5%–10% of all patients presenting with scleral inflammation. However, due to the similarity of its presentation, infectious scleritis is often initially managed as autoimmune, potentially further worsening its outcome. The overall visual outcome in infectious scleritis is generally worse than its autoimmune counterparts, perhaps because of the delay in diagnosis or because of the aggressive nature of associated microbes. Thus, there is a definite need for insight into the diagnostic approach and treatment options for this ocular disease process. Several studies and case reports have been published in recent years that have provided useful information regarding the presenting clinical features and etiologic microbial agents in infectious scleritis. This review summarizes the important findings in the literature that may aid in differentiating infectious scleritis from other etiologies, including predisposing factors, microbe-specific characteristics, diagnostic tools, treatment modalities, and outcomes.

Keywords: infectious scleritis, Pseudomonas, necrotizing scleritis, abscess

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