clinico-microbiological profile and treatment outcome of infectious scleritis experience from a tertiary eye care center of indiaclinico-microbiological概要和治疗感染性巩膜炎的经验的结果从一个印度的第三眼保健中心.pdfVIP

Hindawi Publishing Corporation International Journal of Inflammation Volume 2012, Article ID 753560, 8 pages doi:10.1155/2012/753560 Research Article Clinico-Microbiological Profile and Treatment Outcome of Infectious Scleritis: Experience from a Tertiary Eye Care Center of India Srikant Kumar Sahu,1 Sujata Das,1 Savitri Sharma,2 and Kalyani Sahu1 1 Cornea and Anterior Segment Service, L V Prasad Eye Institute, Bhubaneswar 751024, India 2 Ocular Microbiology Service, L V Prasad Eye Institute, Bhubaneswar 751024, India Correspondence should be addressed to Srikant Kumar Sahu, srikant sahu1@yahoo.co.in Received 16 July 2011; Accepted 31 August 2011 Academic Editor: Mark Willcox Copyright © 2012 Srikant Kumar Sahu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 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 evis