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Haemophilus influenzae associated scleritis.
S O Sykes1, C Riemann, C I Santos
1Francis I Proctor Foundation, UCSF, School of Medicine 94143-0944, USA.
The British Journal of Ophthalmology
|August 6, 1999
Summary
Haemophilus influenzae infection can cause scleritis, a serious eye inflammation. Prompt diagnosis and antibiotic treatment are crucial for preserving vision and eye health.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Microbiology
Background:
- Scleritis, an inflammation of the sclera, can lead to vision loss.
- Ocular infections can sometimes present with scleral involvement.
Observation:
- A retrospective case series identified three patients with scleritis linked to Haemophilus influenzae.
- Two patients had no history of collagen vascular diseases; one had arthritis with positive autoimmune markers.
- All patients had undergone ocular surgery (cataract or strabismus) more than six months prior to scleritis onset.
Findings:
- Nodular abscesses with scleral necrosis were observed in all affected eyes.
- Cultures from these abscesses consistently revealed Haemophilus influenzae.
- Treatment involved topical, subconjunctival, and systemic antibiotics, leading to resolution of inflammation and improved visual acuity.
Implications:
- Haemophilus influenzae should be considered in the differential diagnosis of infectious scleritis, especially post-ocular surgery.
- Early and accurate diagnosis and appropriate antimicrobial therapy are vital for successful management and visual preservation.