PMID: 9536876Apr 16, 1998Paper

Intrascleral dissemination of infectious scleritis following pterygium excision

The British Journal of Ophthalmology
C H HsiaoR J Tsai

Abstract

To assess the clinical pictures, possible pathogenesis, management, and therapy of patients with infectious scleritis associated with multifocal scleral abscesses following pterygium excision. The records of patients with infectious scleritis after pterygium excision who developed multifocal scleral abscesses presenting from 1988 to the end of 1995 were reviewed. Early culture of abscesses was performed, and topical, systemic antimicrobials, or both were given to all patients. Fourteen eyes were operated on in addition to antimicrobial treatment. The initial culture reports of scleral ulcers identified Pseudomonas species in 12 of these 18 patients, Aspergillus in one, Mycobacterium fortuitum in one, and mixed organisms in four. Subsequent abscess cultures were taken from 15 of the infected eyes, and revealed the same organism as the initial culture in 12. Associated complications included four serous retinal detachments, three choroidal detachments, two double detachments, five complicated cataracts, and four recurrences of the initial infection. Four eyes required eventual enucleation and 11 eyes regained useful vision. With subsequent abscess cultures proving to be the same organism as found in the initial ulcer, the abscess...Continue Reading

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Citations

Dec 21, 2006·Japanese Journal of Ophthalmology·Wataru SaitoShigeaki Ohno
Oct 11, 2011·Journal of Ophthalmic Inflammation and Infection·Srikant Kumar SahuSujata Das
Feb 23, 2012·Journal of Ophthalmic Inflammation and Infection·Ethan H TittlerSamuel C Yiu
Apr 11, 2003·Survey of Ophthalmology·Lawrence W Hirst
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Apr 1, 2011·Journal of Clinical Microbiology·Devarshi U GajjarAbhay R Vasavada
Feb 8, 2007·Drugs·Lekha M AbrahamIgal Leibovitch
Nov 12, 2013·Indian Journal of Ophthalmology·Zia Sultan Pradhan, Pushpa Jacob
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