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Clinical Features and Treatment Outcomes in Patients with Infectious Scleritis
감염공막염의 임상양상과 치료 결과
JKOS 2019 Jun;60(6):510-8
Published online June 15, 2019;  https://doi.org/10.3341/jkos.2019.60.6.510
Copyright © 2019 The Korean Ophthalmological Society.
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Mi-Hwa Park, MD1,2, Woong-Sun Yoo, MD1,2,3, Hyun-A Kim, MD1,2,3, Inyoung Chung, MD, PhD1,2,3, Seong-Wook Seo, MD, PhD1,2,3, Seong-Jae Kim, MD, PhD1,2,3
박미화1,2·유웅선1,2,3·김현아1,2,3·정인영1,2,3·서성욱1,2,3·김성재1,2,3

Department of Ophthalmology, College of Medicine, Gyeongsang National University1, Jinju, Korea
Department of Ophthalmology, Gyeongsang National University Hospital2, Jinju, Korea
Health Science Institute, Gyeongsang National University3, Jinju, Korea
경상대학교 의과대학 안과학교실1, 경상대학교병원 안과2, 경상대학교 건강과학연구원3
Received January 31, 2019; Revised February 25, 2019; Accepted May 17, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: To investigate risk factors, clinical features, pathogenic organisms, and outcomes in patients with infectious scleritis.
Methods: This study was a retrospective review of 20 patients with infectious scleritis who were admitted from January 2011 to December 2018 in a single tertiary hospital, with at least 3 months of follow-up. We analyzed age, risk factors, clinical manifestations, pathogenic organisms, treatment, and outcomes of infectious scleritis.
Results: The mean patient age was 69.2 ± 8.4 years and the mean duration of hospitalization was 11.3 ± 5.8 days. Furthermore, the mean duration of symptoms before presentation was 16.8 ± 13.9 days; patients were followed for a mean duration of 23.3 ± 25.4 months. All patients had prior pterygium surgery. Eighteen patients (90%) were culture-positive and Pseudomonas aeruginosa (P. aeruginosa) was identified in 12 eyes. In the acute stages, adjuvant surgical intervention was performed for 18 patients (90%) for these patients, the mean duration of hospitalization before surgery was 4.1 ± 4.4 days.
Conclusions: The most common risk factor and pathogenic organism for infectious scleritis were prior pterygium surgery and P. aeruginosa, respectively. Identification of specific causative organisms and corresponding antibiotic treatment with adjuvant surgical intervention may improve visual prognosis in patients with infectious scleritis.
Keywords : Eye infections, Pseudomonas aeruginosa, Scleritis

 

October 2019, 60 (10)