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Clinical features of 75 cases of scleritis during the past 11 years Kaoru Araki 1 , Yayoi Nakagawa 1 , Rei Tada 1 , Tetsuo Sasabe 1 , Yasuteru Haruta 1 , Takenosuke Yuasa 1 1Dept. of Ophthalmol, Osaka Univ Med Sch pp.1075-1078
Published Date 1987/9/15
DOI https://doi.org/10.11477/mf.1410210174
  • Abstract
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We evaluated the clinical features of 75 cases of scleritis seen during the foregoing 11-year period. The ages at the initial onset of the disease ranged from the fourth to seventh decade, average 45 years. There were 30 males and 45 females. The disease occurred unilaterally or bilaterally at about the same incidence. There was no difference in the severity between unilateral and bilateral cases.

Typically, inflammatory reactions in the anterior sclera appeared twice in the initial year and recur-red once a year. Iridocyclitis was present in 42% of unilateral cases and 60% of bilateral cases. Compli-cations included thinning of the sclera 7 eyes in 5 cases, scleral staphyloma 5 eyes in 4 cases, corneal involvement 8 eyes in 6 caes, ocular hypertension 16 eyes in 14 cases, and chorioretinal lesions due to posterior scleritis 15 eyes in 12 cases.

While the prognosis of visual acuity was fair, these complications induced severe damges to the affected parts of the eye. Corticosteroid was usu-ally effective for the scleritis. Mild cases responded well to topical steroid. Severe cases required ad-ditional systemic administration.

Rinsho Ganka (Jpn J Clin Ophthalmol) 41(9) : 1075-1078,1987


Copyright © 1987, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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