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    Scleritis: Infection vs Inflammatory

    AAO 2015

    Current practice of infectious ocular disease management depends on the location of infection and the suspected organism. Because most ocular infections are bacterial in nature, topical antibiotics are usually the first-line treatment for most infections. Depending on location and severity, oral and intraocular antibiotics can be used as well. In cases unresponsive to medical therapy, adjuvant therapies including surgical debridement, cryotherapy, and keratoplasty can be considered. Different approaches are used for nonbacterial infections (viral, fungal, and Acanthamoeba). Visual outcomes and prognosis depend on the location and severity of infection. In general, worse presenting vision is the most important prognostic indicator. This video series covers

    • How to identify various infectious presentations and stratify them in order of severity
    • How to optimize treatment, including empiric treatment, culture, and referring to subspecialists
    • Adjuvant therapies including intraocular injections (intrastromal, intravitreal), crosslinking, and surgical management