Dr.JYOTI D GARG
PURPOSE-To evaluate sclera in patients with scleritis using optical coherence tomography.
METHODS-Prospective observational case series of SDOCT findings in scleritis with age matched controls.The SDOCT images were analysed with clinical photographs at presentation and during follow up.
RESULTS-30 patients of scleritis with 10 normal controls.Diffuse scleritis in 14patients revealed increased scleral thickness with dilated scleral vessels. A large area of hyporeflectivity in 9patients with nodular scleritis.Area of hyperreflectivity with scleral thinning in 1case of scleromalacia perforans.Altered scleral contourin 2 cases with scleral thinning in 3cases of necrotizing scleritis.In 4 posterior scleritis there is increased sclerochoroidal thickness. Followup scan revealed thinning of sclera with altered pattern in necrotizing scleritis and normal pattern in diffuse scleritis
CONCLUSION-OCT can be used as an additional diagnostic modality in diagnosis & management of scleritis
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