Interventions and Outcomes in Patients with Infectious Pseudomonas scleritis: A 10-Year Perspective.

Published

Journal Article

Purpose: To identify interventional factors associated with improved visual results and faster time to resolution for patients with Pseudomonas scleritis. Methods: Retrospective study analyzing inciting factors, therapeutic modalities, and outcomes of patients with Pseudomonas scleritis. Results: A total of 24 patients were analyzed; 22 were treated as outpatients. All had resolution of infection and 58% (n = 14) maintained ≥20/200 vision. Medical therapy included topical and oral antibiotics; seven received additional subconjunctival injections; two were admitted for IV antibiotics. Patients presenting with ≥20/200 vision were more likely to maintain this level of vision (n = 8, 80%) compared to those presenting with severe vision loss (n = 5, 36%) (p = 0.04). A similar proportion of patients who received (n = 8, 61%) and did not receive (n = 5, 39%) oral steroids achieved 20/200 vision or better once infection resolved, p = 1.0. Conclusions: Pseudomonas scleritis can be successfully managed in the outpatient setting. Oral steroids do not appear harmful in the treatment of this disease.

Full Text

Duke Authors

Cited Authors

  • Ahmad, S; Lopez, M; Attala, M; Galor, A; Stanciu, NA; Miller, D; Suh, L; Albini, T; Perez, VL; Karp, CL; Davis, JL; Alfonso, E; Forster, RK; Amescua, G

Published Date

  • 2019

Published In

Volume / Issue

  • 27 / 3

Start / End Page

  • 499 - 506

PubMed ID

  • 29040032

Pubmed Central ID

  • 29040032

Electronic International Standard Serial Number (EISSN)

  • 1744-5078

Digital Object Identifier (DOI)

  • 10.1080/09273948.2017.1372484

Language

  • eng

Conference Location

  • England