Table 3 Clinical features, management and outcomes of surgically induced scleritis following PPV or SB.

From: Surgically induced scleritis after pars plana vitrectomy or scleral buckling surgery: a 12-year audit

 

Scleritis following pars plana vitrectomy (n = 23 patients (23 eyes))

Scleritis following scleral buckle (n = 16 patients (17 eyes))

Time interval between surgery and scleritis, weeks

3.6 (2.1–51.7)

33.4 (5.7–756.7)

Scleritis subtypes

 Anterior diffuse

16 (70%)

8 (47%)

 Anterior nodular

1a (4.3%)

0 (0%)

 Anterior necrotising

6 (26%)

8 (47%)

 Posterior

2 (8.7%)

1 (6%)

Aetiology

 Non-infective scleritis

21 (91%)

15 (94%)

 Infective scleritis

2 (8.7%)

1 (6%)

Treatment

 NSAIDs

20 (87%)

11 (65%)

 Systemic steroids

2 (8.7%)

5 (17%)

 Immunomodulatory therapy

1 (4.3%)

2 (12%)

 Surgical intervention

2 (8.7%)

10 (59%)

 Duration of follow-up, months

15 (5–69)

8 (5–21)

Best corrected visual acuity (BCVA), logMAR

 At presentation

0.69 (0.30–1.35)

0.54 (0.08–1.36)

 At final follow-up

0.54 (0.08–1.61)

0.48 (0.10–1.00)

 Change in visionb

−0.18 (−0.40–0.13)

0.00 (−0.20–0.08)

 Scleritis recurrence

4 (17%)

5 (29%)

  1. aThere were three cases of nodular scleritis but two developed features of necrotising scleritis and were reclassified.
  2. bnegative value indicates improvement in vision at final follow-up compared to presenting BCVA at onset of scleritis.