7. A case with scleritis under topical steroid Tx In LMC for 5 weeks
8. Watson and Hayreh1976.: S/S, location After diagnosis, how to do classification of scleritis 50% 20-40% less rare To choose treatment and evaluate prognosis.
9. Proper classification achieve proper Treatment 2010 UpToDay Guard associated with systemic illness Systemic steroid IMT(ASAP). Necrotizing anterior scleritis Systemic steroid IMT(17%). Posterior scleritis good 50% recure NSAID(+) Systemic steroid if necessary Nodular anterior scleritis good Rare recur NSAID(+) Systemic steroid if necessary Diffuse anterior scleritis Prognosis Treatment
10. Topic steroid Q2h In LMC for 7 weeks S/S persisted Topic steroid Q2h ( 2 mons=> 47% emission) NSAID(+) improved within 2 weeks Case1. Diffuse anterior scleritis
11. Topic steroid Q2h Systemic steroid in LMC (Low dose) for 5 weeks S/S persisted NSAID(+) improved within 3 weeks Case 2. Nodular scleritis
12. Cases 3,4 Necrotising or posterior scleritis Tx : Systemic steroid,+ IMT (ASAP) are necessary High incidence associated with systemic diseases
52. Anterior scleritis treatment Patients with necrotizing anterior scleritis and those with nonnecrotizing anterior scleritis who do not respond to NSAIDs are started on oral prednisone at 1 mg/kg/d. This dose is continued until the scleritis is quiet for 1 month. The prednisone is then slowly tapered over a few months, depending largely on how well it was tolerated by the patient. Typically, if the patient do