Clinical Features, Treatment, and Visual Outcomes of Japanese Patients with Posterior Scleritis.
Purpose: The purpose of this study is to describe clinical features and visual outcomes of Japanese patients with posterior scleritis.Methods: Clinical records of 10 patients (13 eyes) presenting between 2006 and 2016 were retrospectively reviewed.Results: The mean age was 50.1 ± 20.8 years; 50% were women, and three patients had bilateral disease. Associated anterior scleritis (11 eyes, 85%) and serous retinal detachment (8 eyes, 62%) were common at presentation. Treatment consisted of corticosteroids (all patients) and immunosuppressive agents (seven patients). The mean subfoveal choroidal thickness was significantly reduced over follow-up [611 μm at baseline, 298 μm (p < 0.01) at 1 month, and 238 μm (p < 0.01) at 1 year]. Recurrent inflammation was observed in six patients. A best-corrected visual acuity of 0.8 or better was achieved in all 13 eyes at 3 years and 71% of eyes at 5 years.Conclusion: Although 60% of patients with posterior scleritis had recurrence, visual outcomes were favorable.
['Ando|Yoshimasa|Y|', 'Keino|Hiroshi|H|', 'Nakayama|Makiko|M|', 'Watanabe|Takayo|T|', 'Okada|Annabelle A|AA|']
D000293:Adolescent D000305:Adrenal Cortex Hormones D000328:Adult D000368:Aged D005260:Female D005500:Follow-Up Studies D006801:Humans D007166:Immunosuppressive Agents D015994:Incidence D007564:Japan D008297:Male D008875:Middle Aged D011379:Prognosis D012189:Retrospective Studies D015423:Scleritis D041623:Tomography, Optical Coherence D014792:Visual Acuity D055815:Young Adult
visual outcomes posterior scleritis corticosteroid immunosuppression Central choroidal thickness exudative retinal detachment