Infectious Scleritis- Two Different Clinical Presentation

Abstract

Aims: To present two different cases of infectious scleritis in a tertiary eye care centre of Bangladesh.

Method: An observational case series of two cases of infectious scleritis at Chittagong Eye Infirmary & Training Complex. Detail pertinent history was recorded, thorough clinical examination, best corrected visual acuity (BCVA), slit lamp examination, indirect ophthalmoscope were done. Fundus Fluorescein Angiography (FFA) and microbiology report obtained from first cases. Diagnosis was made by clinical history, ocular findings, appropriate ancillary tests and laboratory test.

Consent of the two patients was taken for academic purpose.

Result: Two patients presented with painful blurring of vision in affected eye. Male female ratio was 1:1. Both of them were at the age of 40 and had left eye affected with reduced vision less than 6/60. One had scleritis with exudative RD, other had anterior scleritis. One was pseudomonas and other was tuberculous. Both of them were treated with systemic antibiotic according to the infection along with systemic steroid.

Conclusion: Infectious Scleritis is a rare disease and it can cause loss of vision due to severe complication. But proper evaluation and in time proper treatment may save the eye with good vision.