Abstract |
Scleritis is a serious inflammatory condition that is often painful, and in severe cases can result in permanent loss of vision. Approximately half the patients affected have no identifiable cause, but 30%-40% have an underlying systemic autoimmune condition. Scleritis may be the initial manifestation of Wegener's granulomatosis or rheumatoid arthritis, and all patients with scleritis require a thorough systemic evaluation. Scleritis has a variable presentation and disease course, and may be an acute monophasic illness, a relapsing remitting process, or take a chronic course. Treatment options include local therapy with subconjunctival steroid injections for non-necrotising scleritis, and systemic anti-inflammatory or immunosuppressive therapy. Biologic agents have been used with success in some refractory cases. Ocular and systemic morbidity is reduced by timely treatment with immunosuppressant medications.
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Authors | Joanne Sims |
Journal | Postgraduate medical journal
(Postgrad Med J)
Vol. 88
Issue 1046
Pg. 713-8
(Dec 2012)
ISSN: 1469-0756 [Electronic] England |
PMID | 22977282
(Publication Type: Journal Article, Review)
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Chemical References |
- Anti-Inflammatory Agents
- Immunosuppressive Agents
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Topics |
- Anti-Inflammatory Agents
(therapeutic use)
- Arthritis, Rheumatoid
(complications, drug therapy)
- Granulomatosis with Polyangiitis
(complications, drug therapy)
- Humans
- Immunosuppressive Agents
(therapeutic use)
- Scleritis
(complications, drug therapy, etiology)
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