Clinical Features, Treatment, and Visual Outcomes of Japanese Patients with Posterior Scleritis.

Purpose: The purpose of this study is to describe clinical features and visual outcomes of Japanese patients with posterior scleritis.

Methods

Clinical records of 10 patients (13 eyes) presenting between 2006 and 2016 were retrospectively reviewed.

Results

The mean age was 50.1 ± 20.8 years; 50% were women, and three patients had bilateral disease. Associated anterior scleritis (11 eyes, 85%) and serous retinal detachment (8 eyes, 62%) were common at presentation. Treatment consisted of corticosteroids (all patients) and immunosuppressive agents (seven patients). The mean subfoveal choroidal thickness was significantly reduced over follow-up [611 μm at baseline, 298 μm (p < 0.01) at 1 month, and 238 μm (p < 0.01) at 1 year]. Recurrent inflammation was observed in six patients. A best-corrected visual acuity of 0.8 or better was achieved in all 13 eyes at 3 years and 71% of eyes at 5 years.

Conclusion

Although 60% of patients with posterior scleritis had recurrence, visual outcomes were favorable.