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Refractory Unilateral Diffuse Scleritis With Negative Autoimmune Workup Successfully Treated With Sub-tenon
Narayana Swamy1, Saraswathi Saiprasad2, Kristi Kway3,4
1Rheumatology, Baylor Scott and White Health, Fort Worth, USA.
Steroid-dependent anterior scleritis can be challenging to manage. Localized intrascleral triamcinolone successfully resolved a patient's chronic scleritis, allowing discontinuation of systemic steroids.
Area of Science:
- Ophthalmology
- Rheumatology
- Immunology
Background:
- Noninfectious anterior scleritis presents management challenges due to potential steroid dependence.
- Recurrent cases may require extensive systemic evaluation to exclude other causes.
- Systemic therapies can be ineffective for refractory scleritis.
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