Dr. KRISHNENDU NANDI

DR. ANINDYA KISHORE MAJUMDER, DR.AMITABH KUMAR

Abstract

Aims: To profile the etiology, clinical features, risk factors for poor visual outcome of eyes with posterior scleritis.

Design: Retrospective case series at a tertiary care centre in East India.

Method: Data regarding age, sex, clinical profile and management of patients with the diagnosis of posterior scleritis between January 2009 and December 2016 and were reviewed.

Results: Majority of the patients presented with choroidal folds. Pain was not an associated feature in 47% of patients. Only 22% percent of patients had associated anterior scleral inflammation. Forty seven percent of cases showed presence of T- sign on USG. Patients with delayed presentation (p=0.05) and evidence of optic nerve involvement (p=0.015) needs aggressive anti-inflammatory therapy with systemic immunosuppressive agents.

Conclusion: Triple immunosuppressive agents can be effectively used in cases with disc edema along with posterior scleritis.