Infectious Scleritis
An elderly patient presented to BPEI with 7 days of decreased vision and pain in the left eye. Visual acuity was hand motion and exam revealed a localized area of scleral necrosis and suppuration. B scan showed a very small and shallow ciliochoroidal detachment. Cultures of the scleral lesion was taken and laboratory evaluation for systemic infection and rheumatologic disease was performed. She was started on empiric topical and oral antibiotics. Corneal cultures grew Pseudomonas aeruginosa and antibiotic therapy was narrowed. One year later, the patient developed Pseudomonas scleritis in the right eye. Scleral debridement and PDT were performed but the infection progressed. Subpalpebral lavage of ciprofloxacin was initiated for three days, and the infection was finally controlled.
Presentation Date: 01/06/2022
Issue Date: 01/28/2022
Please log in or click on ENROLL ME to access this course.
