Clinico-Microbiological Profile and Treatment Outcome of Infectious Scleritis: Experience from a Tertiary Eye Care Center of India
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...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | International Journal of Inflammation |
| Online Access: | http://dx.doi.org/10.1155/2012/753560 |
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| author | Srikant Kumar Sahu Sujata Das Savitri Sharma Kalyani Sahu |
| author_facet | Srikant Kumar Sahu Sujata Das Savitri Sharma Kalyani Sahu |
| author_sort | Srikant Kumar Sahu |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-3c8b79959c2f4ab2a56abc1cc10c0080 |
| institution | Kabale University |
| issn | 2090-8040 2042-0099 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Inflammation |
| spelling | doaj-art-3c8b79959c2f4ab2a56abc1cc10c00802025-02-03T06:12:17ZengWileyInternational Journal of Inflammation2090-80402042-00992012-01-01201210.1155/2012/753560753560Clinico-Microbiological Profile and Treatment Outcome of Infectious Scleritis: Experience from a Tertiary Eye Care Center of IndiaSrikant Kumar Sahu0Sujata Das1Savitri Sharma2Kalyani Sahu3Cornea and Anterior Segment Service, L V Prasad Eye Institute, Bhubaneswar 751024, IndiaCornea and Anterior Segment Service, L V Prasad Eye Institute, Bhubaneswar 751024, IndiaOcular Microbiology Service, L V Prasad Eye Institute, Bhubaneswar 751024, IndiaCornea and Anterior Segment Service, L V Prasad Eye Institute, Bhubaneswar 751024, IndiaMedical 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.http://dx.doi.org/10.1155/2012/753560 |
| spellingShingle | Srikant Kumar Sahu Sujata Das Savitri Sharma Kalyani Sahu Clinico-Microbiological Profile and Treatment Outcome of Infectious Scleritis: Experience from a Tertiary Eye Care Center of India International Journal of Inflammation |
| title | Clinico-Microbiological Profile and Treatment Outcome of Infectious Scleritis: Experience from a Tertiary Eye Care Center of India |
| title_full | Clinico-Microbiological Profile and Treatment Outcome of Infectious Scleritis: Experience from a Tertiary Eye Care Center of India |
| title_fullStr | Clinico-Microbiological Profile and Treatment Outcome of Infectious Scleritis: Experience from a Tertiary Eye Care Center of India |
| title_full_unstemmed | Clinico-Microbiological Profile and Treatment Outcome of Infectious Scleritis: Experience from a Tertiary Eye Care Center of India |
| title_short | Clinico-Microbiological Profile and Treatment Outcome of Infectious Scleritis: Experience from a Tertiary Eye Care Center of India |
| title_sort | clinico microbiological profile and treatment outcome of infectious scleritis experience from a tertiary eye care center of india |
| url | http://dx.doi.org/10.1155/2012/753560 |
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