1. Monitoring therapy in anterior necrotizing scleritis with inflammation with anterior segment optical coherence tomography

    Monitoring therapy in anterior necrotizing scleritis with inflammation with anterior segment optical coherence tomography

    Introduction: Early diagnosis and initiation of immunosuppression can prevent the necessity of surgical intervention in necrotizing scleritis with inflammation and lowers the risk of perforation and loss of vision. However, clinical signs for early diagnosis and methods for monitoring response to immunosuppressive therapy are missing. Methods: Here, we present a case of necrotizing scleritis with inflammation where avascular plaques precede scleral defects. We use slit lamp imaging and anterior segment optical coherence tomography to evaluate evolution lesions depth and impact on scleral structure. Results: The patient presented 5 months after detection of avascular plaques with a new scleral ulcer of ...

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