RECOGNITION OF POSTERIOR SCLERITIS AND ITS TREATMENT WITH INDOMETHACIN

被引:20
作者
ROSENBAUM, JT
ROBERTSON, JE
机构
[1] Casey Eye Institute Oregon Health Sciences University, Portland, OR
来源
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES | 1993年 / 13卷 / 01期
关键词
SCLERITIS; INDOMETHACIN; NONSTEROIDAL ANTIINFLAMMATORY DRUG; ULTRASOUND;
D O I
10.1097/00006982-199313010-00005
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Posterior scleritis is a rare disease, the clinical signs of which may vary. There is no consensus on the appropriate method of treatment for this disease. Some have advocated treatment with nonsteroidal antiinflammatory drugs, whereas others have reported variable success with potentially more toxic therapy. Patients with posterior scleritis constitute approximately 1% of the uveitis clinic population at the Casey Eye Institute in Portland, Oregon. The cases of 6 patients with posterior scleritis, the diagnosis of which was elusive, are reported. Posterior scleritis was generally confirmed by ultrasound examination. Each of the patients responded to treatment with indomethacin, which was usually the sole method of nontopical therapy. Thus, recognition of this relatively rare disease had marked implications for treatment.
引用
收藏
页码:17 / 21
页数:5
相关论文
共 12 条
[1]  
Watson P.G., Hayreh S.S., Scleritis and episcleritis, Br J Ophthalmol, 60, pp. 163-191, (1976)
[2]  
Benson W.E., Posterior scleritis, Surv Ophthalmol, 32, pp. 297-316, (1988)
[3]  
Benson W.E., Shields J.A., Tasman W., Crandall A.S., Posterior scleritis: A cause of diagnostic confusion, Arch Ophthalmol, 97, pp. 1482-1486, (1979)
[4]  
Cappaert W.E., Purnell E.W., Frank K.E., Use of b-sector scan ultrasound in the diagnosis of benign choroidal folds, Am J Ophthalmol, 84, pp. 375-379, (1977)
[5]  
Cleary P.E., Watson P.G., McGill J.I., Hamilton A.M., Visual loss due to posterior segment disease in scleritis, Trans Ophthalmol Soc U K, 95, pp. 297-300, (1975)
[6]  
Singh G., Guthoff R., Foster C.S., Observations on long-term follow-up of posterior scleritis, Am J Ophthalmol, 101, pp. 570-575, (1986)
[7]  
Bertelsen T.I., Acute sclerotenonitis and ocular myositis complicated by papillitis, retinal detachment and glaucoma, Acta Ophthalmol, 38, pp. 136-152, (1960)
[8]  
Wakefield D., McCluskey P., Cyclosporin therapy for severe scleritis, Br J Ophthalmol, 73, pp. 743-746, (1989)
[9]  
Haskin K.N., Ham J., Lightman S.L., Use of cyclosporin in the management of steroid dependent non-necrotising scleritis, Br J Ophthalmol, 75, pp. 340-341, (1991)
[10]  
Foster C.S., Immunosuppressive therapy for external ocular inflammatory disease, Ophthalmology, 87, pp. 140-150, (1982)