The prognosis of scleritis varies upon the severity and extent of involvement of ocular structures and the presence of underlying systemic diseases. Nonnecrotizing noninfectious anterior (diffuse or nodular) scleritis has a good prognosis with treatment, with most eyes maintaining good visual acuity over time. Patients with posterior scleritis, necrotizing scleritis, or infectious scleritis, however, are at high risk of permanent vision loss. Individuals with necrotizing scleritis are also at risk of higher mortality rates, because of the frequent association with life-threatening vasculitic disorders. Proper and timely management of these disorders is thus very important.
Figure 7-10 Postoperative aspect of scleral grafting.
(Courtesy of Humeyra Karacal, MD.)
Excerpted from BCSC 2020-2021 series: Section 9 - Uveitis and Ocular Inflammation. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.