Scleritis

Abstract

Scleritis is typically a severe painful inflammatory process centered in the sclera that may involve the cornea, adjacent episclera, and underlying uvea; it poses a significant threat to vision. Careful clinical history taking, detailed ocular examination, appropriate investigation for ocular disease with or without underlying systemic disease, and timely intervention with the use of immunosuppressant drugs when necessary, has improved the long-term outcome for patients with this disease.

Surgical treatment of necrotic scleral calcification using combined conjunctival autografting and an amniotic membrane inlay filling technique

“…Third, the calcific plaque induces an overlying surface defect through which pathogens may establish infection. 4 In the current study, half of the cases developed a surface defect. Even though no infections developed, a scleral defect over the long term is prone to invasion by microorganisms.…”

“…Even though scleral calcification is not a common complication, it produces an overlying conjunctival defect, which may allow access to pathogens. 4 Once an infection is established, it is extremely difficult to control and may lead to infectious necrotising scleritis, which is the most devastating complication. Therefore, prevention of the catastrophic infection is more important than treatment.…”

Esclerite posterior: características clínicas, associação sistêmica, tratamento e evolução de 23 pacientes

“…Tais resultados estão de acordo com diversos trabalhos nos quais, pacientes com esclerite posterior, são predominantemente de meia idade e a idade média para o início do quadro é de 49 anos (2,4,8) . Em somente 30% dos casos, ela pode ocorrer antes dos 40 anos de idade (9) . A frequência de esclerite posterior em crianças e adultos jovens é baixa, mas existe relato do encontro de esclerite posterior simulando um tumor intraocular em uma criança de apenas cinco anos de idade (10)(11) .…”

“…O trabalho mostrou que a esclerite posterior foi 2,5 vezes mais comum no sexo feminino que no sexo masculino, o que também está de acordo com a literatura que cita 65% dos pacientes com esclerite posterior, sendo mulheres (2,9,12) . Interessantemente, em uma pequena série de pacientes (47) analisados em um artigo, houve preponderância de esclerite posterior no sexo masculino e em jovens (média de 19 anos) (13) .…”

Use of autologous fascia lata as a natural biomaterial for tectonic support in surgically induced necrotizing scleritis

“…[1][2][3][4][5] SINS is a rare sequel of ocular surgery and has been described after cataract extraction, trabeculectomy, strabismus, retinal detachment surgery including parsplana vitrectomy, penetrating keratoplasty, pterygium excision, and diode cyclophotocoagulation. [6][7][8][9][10][11][12][13][14][15][16] …”