IERG Abstracrt Book.indd - LV Prasad Eye Institute

Clinical Poster Sessionsthree years of project reveals that this project has considerable impact over access of elderlyadults (>60 years) who might otherwise have not received treatment as one of the mostsignificant barriers to accessing these services is affordability.95ICP 010Demographic Profile, Risk Factors and Clinical Outcome of Infectious Scleritis ata Tertiary Eye Care HospitalJagadesh C Reddy, Somasheila MurthyL V Prasad Eye Institute, Hyderabad, India.Purpose: To analyse the demographics, risk factors, pathogenic organisms, and the clinicaloutcome in cases of infectious scleritis.Methods: Retrospective review of all the medical records of patients of infectious scleritisexamined from march 2005 to Dec 2009 in the cornea services of L.V. Prasad Eye Institute,Hyderabad, India was done. Information including patient’s age, predisposing factors,clinicalpresentation, pathogenic organism, methods of diagnosis, treatment, and outcome wereabstracted from the medical records.Results: Total of 41 microbiologically proven infectious scleritis cases were found . Infectiousscleritis comprised of 17.44% (41) of all (235) scleritis cases reported.The age of thesepatients ranged between 12 and 70 Years (mean 48.52 years). Male : female ratio 7:1.Risk factorswere seen in 31 cases ,Injury: 9 cases(22%) ,Surgery:24 cases(58.5%) [ 3-cataract surgery,3-pterygium surgery,1- corneoscleral tear repair +PPV,17- VR surgery for RD ,Steroid usageat presentation 16 cases(39%),Diabetes mellitus : 7 cases(17%), unifocal abcess is seen in 32cases(78%), multi focal 6 cases(14.5%), Diffuse 3 cases(7.3%) . Fungus was the most commonorganism 8 cases(19%),Pseudomonas 7 cases (17%),Nocardia 6 cases(14%),Staphylococcusaureus 6 cases (14%),Streptococcus species 4 cases(10%),Mycobacterium chelonae 4 cases(14%) Mixed 2 cases(5%),Corynebacterium species 2 cases (5%) ,Staphylococcus epidermidis1case (2%),Brevibacterium 1 case (2%) . Corneal Involvement is seen in 5 cases ( 12 %).Durationof treatment ranged from 17 days to 90 days. Visual acuity at final follow up Improved in17 cases(46%),Stable in 13 cases(35%),Deteriorated 7 cases(19%).Conclusions: surgery is the major risk factor for infectious scleritis in our series. Fungus wasthe most common organism isolated followed by pseudomonas. The outcome was better inthese cases compared to previous reports.