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Published on: June 16, 2020
Clinical Profile of Scleritis Presenting for the First Time in the Elderly
Kowsigan Magesan1, Janani Surya2, Sudharshan Sridharan3
1Medical research foundation, Sankara Nethralaya, Chennai, India.
Purpose:
To analyze clinical characteristics of scleritis in elderly patients and also compare the data with relatively younger patients with scleritis (<60 years).
Method:
Retrospective analysis of medical records of patients with scleritis who visited a tertiary eye care centre between 2008 and 2018.
Result:
Scleritis in ≥60 years accounted for 3% of the total scleritis cases. The mean age of the patients was 67 ± 6 years, and a female (66%) predominance was noted. Of the 44 elderly patients with scleritis, 48% were 66-70 years of age and 20% were above 70 years of age. Diffuse scleritis was the most common subtypes followed by necrotizing scleritis (35%). Overall, 32% of elderly patients with scleritis had underlying disease and the most common systemic association was granulomatous with polyangiitis. When compared with a subset of patients (<60 years of age), the elderly group showed higher rate of recurrences and complications.
Conclusion:
Scleritis in elderly patients is relatively rare but can have a higher recurrence rate with a increased complications.
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