J Retin.  2023 Nov;8(2):119-124. 10.21561/jor.2023.8.2.119.

Clinical Manifestation and Prognosis of Bilateral Posterior Scleritis in Koreans: A Single-Center Cohort Study

• Choi YJ
• Cho YW
• Kim SJ
• Chung I
• Yoo WS

• KMID: 2552099
• DOI: http://doi.org/10.21561/jor.2023.8.2.119

Abstract

Purpose
To analyze the clinical characteristics and treatment prognosis of bilateral posterior scleritis in Koreans.
Methods
As a retrospective cohort study, demographics, clinical characteristics treatment methods and final visual acuity were analyzed in patients diagnosed with bilateral posterior scleritis in a single tertiary institution.
Results
Six patients with bilateral posterior scleritis were enrolled in the study, including five women (83.3%), and the average age was 60 years. The main symptom was headache in four patients (67%), and optic disc edema was found in 83.3%. Systemic steroid treatment was performed in all patients. Recurrence, observed in 66.7% of cases, was effectively managed through steroid treatment. It was confirmed that good initial visual acuity was associated with better final vision (R ² = 0.382, p = 0.032).
Conclusions
Bilateral posterior scleritis is a rare scleral inflammatory disease for which a good vision prognosis can be obtained through active systemic steroid treatment with early diagnosis.

Keyword

Inflammation; Scleritis; Steroids