2014, Number 3
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Rev Cub Oftal 2014; 27 (3)
Posterior scleritis: a propos of a case
Ambou FI, Valdés PÁ, de Prada SC, Pérez SL, Carvajal RS
Language: Spanish
References: 14
Page: 497-502
PDF size: 122.79 Kb.
ABSTRACT
The inflammatory diseases of the sclera are uncommon. They involve both the
sclera and the episclera and are characterized by chronic nature, pain and potential
cause of blindness. Their association with systemic diseases, frequently
autoimmune ones, and the occurrence of serious ocular complications lead to
applying aggressive systemic therapy with non-steroid antinflammatory drugs,
corticosteroids and immunosuppressive agents, which can be administered alone or
combined. This is a 37 years-old patient who went to the emergency service because he suffered intense ocular pain associated to red eyes, reduction of visual
acuity and high ocular pressure values in his right eye. He was finally diagnosed
with posterior scleritis.
REFERENCES
Benson WE. Posterior scleritis. Survey Ophthalmol. 1988;32(5):297-316.
Whitcup SM. Scleritis. In: Nussenblatt RB, Whitcup SM, editors. Uveitis fundamental and clinical practice. Elsevier: Mosby; 2004. p. 287-90.
Meyer PA, Watson PG, Franks W, Dubard P. Pulse inmunosupresive therapy in the treatment of inmunologically induced corneal and scleral disease. Eye. 1987;1:487-95.
Watson PG. The nature and treatment of scleral inflammation. Trans Ophthalmol Soc UK. 1982;99:257.
Vitale AT, Sainz de la Maza. Scleral Inflammatory Disease. In: Ryan SJ, editor. Retina. Elseiver: Mosby; 2006. p. 1731-46.
Jabs DA. Episcleritis and scleritis: clinical features and treatment results. Am J Ophthalmol. 2000;10:469-76.
Watson PG, Hayreh SS. Scleritis and episcleritis. Br J Ophthalmol. 1976;60:163-91.
Mc Gavin DD, Williamson J. Episcleritis and scleritis: a study of their clinical manifestation and association with reumathoid arthritis. Br J Ophthalmol. 1976;60:192-226.
Sainz de la Maza M. Severity of scleritis and episcleritis. Ophthalmology. 1994;101:389-96.
Tuft SJ, Watson PG. Progression of scleral disease. Ophthalmology. 1991; 98:467-71.
Mc Clusky PJ. Posterior scleritis: clinical features, systemis associations and outcome in a large series of patients. Ophthalmology. 1999;166:2380-6.
Sainz de la Maza M, Foster CS. Scleritis associated with systemic vasculitis diseases. Ophthalmology. 1995;102:687-92.
Karamursel E, Thorne J. Evaluation of patients with scleritis for systemic disease. Ophthalmology. 2004;111:501-5.
Fernández-Baca G, Losada Castillo MJ, Pérez Barreto L, Martin Barrera F. Escleritis asociadas a enfermedades sistémicas. Arch Soc Canar Oftal. 2005 [citado 16 de mayo de 2014]. Disponible en: http://www.oftalmo.com/sco/revista- 16/16sco17.htm