J Korean Ophthalmol Soc > Volume 60(6); 2019 > Article
Journal of the Korean Ophthalmological Society 2019;60(6):510-518.
DOI: https://doi.org/10.3341/jkos.2019.60.6.510    Published online June 15, 2019.
Clinical Features and Treatment Outcomes in Patients with Infectious Scleritis.
Mi Hwa Park, Woong Sun Yoo, Hyun A Kim, Inyoung Chung, Seong Wook Seo, Seong Jae Kim
1Department of Ophthalmology, College of Medicine, Gyeongsang National University, Jinju, Korea. maya12kim@naver.com
2Department of Ophthalmology, Gyeongsang National University Hospital, Jinju, Korea.
3Health Science Institute, Gyeongsang National University, Jinju, Korea.
감염공막염의 임상양상과 치료 결과
박미화1,2·유웅선1,2,3·김현아1,2,3·정인영1,2,3·서성욱1,2,3·김성재1,2,3
경상대학교 의과대학 안과학교실1, 경상대학교병원 안과2, 경상대학교 건강과학연구원3
Correspondence:  Seong-Jae Kim, MD, PhD
Email: maya12kim@naver.com
Received: 31 January 2019   • Revised: 25 February 2019   • Accepted: 17 May 2019
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.
Key Words: Eye infections;Pseudomonas aeruginosa;Scleritis


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