Optical coherence tomography in the diagnosis of scleritis and episcleritis

American Journal of Ophthalmology
Samir S ShoughyKhalid F Tabbara

Abstract

To describe the optical coherence tomography (OCT) findings in eyes with active anterior scleritis and compare the findings to those with episcleritis and normal controls. Prospective evaluation of a diagnostic test. We included a total of 30 eyes of 30 patients with unilateral anterior scleral or episcleral inflammation. The contralateral 30 eyes with no active ocular disease served as controls. OCT was performed over the anterior sclera in the inflamed area on all cases. The OCT images were analyzed to determine the thickness of the sclera and the presence or absence of scleral hyporeflective areas representing intrascleral edema. There were 17 male and 13 female patients. The mean age was 43 years with an age range of 21-77 years. Eighteen patients had anterior scleritis and 12 patients had episcleritis. The mean transconjunctival scleral thickness was 747 μm (SD ± 68.97) with a range of 616-877 μm in normal eyes, 882 μm (SD ± 87.35) with a range of 773-1089 μm in patients with scleritis, and 825 μm (SD ± 85.57) with a range of 718-949 μm in patients with episcleritis. Patients with active anterior scleritis showed increased thickness of the sclera and presence of intrascleral hyporeflective areas of edema by OCT compared to...Continue Reading

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Citations

Mar 5, 2016·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Scott A ReadStephen J Vincent
Nov 26, 2015·International Ophthalmology·Ashleigh L LevisonSunil K Srivastava
Apr 9, 2016·Expert Review of Clinical Immunology·Merih OrayC Stephen Foster
Aug 24, 2016·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·C TappeinerA Heiligenhaus
Aug 11, 2018·Ocular Immunology and Inflammation·Rosanna DammaccoFranco Dammacco
Jan 13, 2019·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Sarah B WangPeter J McCluskey
Feb 6, 2019·Clinical & Experimental Ophthalmology·Alessandro InvernizziGiovanni Staurenghi
Mar 30, 2017·Case Reports in Ophthalmological Medicine·Christos Christakopoulos
Jan 30, 2021·Asia-Pacific Journal of Ophthalmology·Anamika PatelSoumyava Basu
Feb 14, 2021·Archivos de la Sociedad Española de Oftalmología·A Gargallo-Benedicto, R Clemente-Tomás
Jun 7, 2020·Experimental Eye Research·D P C VergouwenM W J Schreurs

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