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Scleritis and Streptococcus pneumoniae.

A J Altman1, E J Cohen, S T Berger

  • 1Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107.

Cornea
|July 1, 1991
PubMed
Summary
This summary is machine-generated.

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Streptococcus pneumoniae can cause infectious scleritis, a serious eye infection. Prompt antibiotic treatment is crucial for managing this condition and preserving vision, though outcomes vary.

Area of Science:

  • Ophthalmology
  • Infectious Diseases

Background:

  • Scleritis, particularly infectious scleritis, can lead to severe visual impairment.
  • Streptococcus pneumoniae is a potential causative agent of infectious scleritis.

Observation:

  • This study retrospectively reviewed four patients with Streptococcus pneumoniae scleritis.
  • Patient histories included prior beta irradiation, chronic nodular scleritis, and rheumatoid arthritis.
  • All patients received intensive intravenous and topical fortified antibiotic therapy.

Findings:

  • Two patients achieved good visual acuity (20/30 and 20/60) after treatment.
  • One patient developed endophthalmitis, leading to enucleation due to chronic pain.
  • Another patient experienced perforation requiring a corneal-scleral graft, resulting in poor visual acuity.

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Implications:

  • Infectious etiology should be suspected in necrotizing scleritis with purulent discharge.
  • Prompt diagnosis with smears and cultures is essential.
  • While antibiotic treatment can be effective, severe outcomes like vision loss and enucleation are possible.