Clinical Profile of Patients with Scleritis in Bangladesh

Clinical profile, treatment, and visual outcome of scleritis: A single ophthalmologist experience

“…This frequency and subtypes were inconsistent with the studies in the literature. [ 14 15 16 ] The present study showed that 31% of scleritis from India had a systemic autoimmune disease. This finding is similar to previously published studies.…”

“…This is much less as compared to other studies. [ 15 23 ] Use of immunosuppressive agents might have helped in maintaining or improving the vision of the remaining 92% of the patient in our study. Two patients with necrotizing scleritis in our series developed globe perforation despite all treatment and including biologics given in one patient.…”

“…[ 5 9 ] Also, our finding confirms scleritis in India affects relatively younger population than other parts of the world. [ 11 12 13 14 15 16 17 18 19 20 ] Relatively younger age at presentation (37 ± 21 years) was noted in patients with posterior scleritis. Most importantly, four out of five patients with scleritis were <50 years.…”

“…In contrast, studies from Bangladesh and India revealed a significant association of mycobacterium tuberculosis in patients with nodular scleritis. [ 15 ] Considering the high prevalence of TB in India, it is recommended to screen all patients with scleritis for TB irrespective of clinical subtype. Mccluskey et al ,[ 23 ] in their study of 99 patients with posterior scleritis, found 29% of patients to have associated systemic disease and recommended aggressive treatment with immunosuppressive agents.…”

Choroidal involvement in non-infectious posterior scleritis

“…Posterior scleritis is a potentially sight-threatening, inflammatory process of the sclera that primarily involves the posterior segment of the eye [1]. It is an uncommon condition, affecting between 2.0 and 17.7% of all scleritis patients in retrospective epidemiological studies [2][3][4][5][6][7][8][9][10][11][12]. Posterior scleritis is reported to have a female preponderance in the majority of case series and can occur in all decades of life (Table 1) [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28].…”