Surgical Intervention in Infectious Keratoscleritis

Research output: Contribution to journalArticle

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Abstract

Moriarty et al1 failed to address the importance of surgical treatment in patients with infectious keratoscleritis. In an article published in 1991,2 we examined 28 patients with cultureproven infectious scleritis and keratoscleritis. Three patients had developed keratoscleritis following pterygium removal and application of beta radiation. An additional patient had pterygium removal alone, without the application of beta radiation. Seven of eight patients who were treated with antibiotics alone and two of 11 patients who received surgical intervention and antibiotics eventually required evisceration or enucleation of the eye. Our results suggest that cryotherapy, lamellar or penetrating corneoscleral grafts, in addition to intensive antibiotic therapy may improve the outcome of patients with infectious keratoscleritis. In infectious scleritis alone, five patients were treated with conjunctival recession and cryotherapy in addition to an intensive regimen of antibiotics, and four patients were treated with antibiotics alone. The infections of these nine patients resolved.

Original languageEnglish (US)
Pages (from-to)1017
Number of pages1
JournalArchives of Ophthalmology
Volume112
Issue number8
DOIs
StatePublished - 1994
Externally publishedYes

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Anti-Bacterial Agents
Beta Particles
Scleritis
Pterygium
Cryotherapy
Eye Enucleation
Transplants
Therapeutics
Infection

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Surgical Intervention in Infectious Keratoscleritis. / Alfonso, Eduardo C.

In: Archives of Ophthalmology, Vol. 112, No. 8, 1994, p. 1017.

Research output: Contribution to journalArticle

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