Can scleritis cure thoroughly
summary
Scleritis is a scleral infectious emergency characterized by severe eye pain and initial symptoms of redness and decreased vision. Also known as deep scleritis. Deep scleritis is less common than superficial scleritis. The incidence of acute, often accompanied by corneal and uveitis, poor prognosis. According to the location of the disease, it can be divided into anterior scleritis and posterior scleritis. The main causes of the disease are endogenous antigens, antibodies and immune complexes. It is common in connective tissue diseases, such as rheumatoid arthritis, granuloma, relapsing polychondritis and systemic lupus erythematosus. It can also be seen in herpes zoster, virus infection, syphilis, gout or after eye surgery. Let's take a look at the following.
Can scleritis cure thoroughly
First, posterior scleritis is relatively rare, is a granulomatous inflammation, located in the posterior equatorial sclera, with varying degrees of eye pain, decreased vision, no obvious changes in the anterior segment, may have a slight red eye, posterior segment performance for mild vitreitis, optic disc edema, serous retinal detachment, choroidal folds.
Second: in severe cases, it is forbidden to inject glucocorticoids under conjunctiva, behind or around bulbar in Wuxue area and uveal area, which can prevent tympanic membrane perforation. Periostitis, first of all in the primary disease on the basis of standardized treatment, at the same time the above treatment can be.
Third: from the scleritis first anti-inflammatory treatment, eye or systemic application of glucocorticoids and non ziti anti-inflammatory drugs, if the effect is not good, can add immunosuppressant. With ciliary muscle spasm, can use atropine mydriasis, you paralyze the ciliary muscle. For patients with scleral necrosis and perforation, allogeneic scleral transplantation can be tried.
matters needing attention
Nodular scleritis lesion area sclera purplish red congestion, inflammation infiltration swelling, nodular swelling, texture is relatively hard, tenderness, nodules can have more than one. Diffuse scleritis, scleral hyperemia, bulbar conjunctival edema, tympanic membrane showed characteristic blue. Necrotizing scleritis is more destructive, often causing inflammation of visual impairment, eye pain is more obvious, early local scleral inflammatory plaque, edge inflammation is heavier than the center.