Infectious scleritis, while being less common than immune-mediated scleritis, is an equally challenging entity. The diagnosis is often delayed due to the close similarity of clinical presentation between noninfectious and infectious etiology and also because the clinical signs of infection may be obvious only in the late stages. In addition, difficulty in isolating the microorganism and poor penetration of drugs in the avascular sclera lead to delay in response to therapy. We describe two cases of infectious scleritis: the first case had an antecedent history of trauma and was diagnosed as infectious scleritis; however, repeated scleral biopsies and microbiology workup were necessary to establish a diagnosis of fungal scleritis. The second case initially presented as nodular scleritis and was managed as immune-mediated scleritis; later the lesion demonstrated Nocardia scleritis after microbiological investigations.
KeywordsTimolol Maleate Prednisolone Acetate Choroidal Detachment Intraocular Foreign Body Random Blood Sugar
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