首次在老年人中出现的巩膜炎的临床特征。

Clinical Profile of Scleritis Presenting for the First Time in the Elderly.

机构信息

Medical research foundation, Sankara Nethralaya, Chennai, India.

Biostatistics, Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, India.

出版信息

Ocul Immunol Inflamm. 2023 May;31(4):696-700. doi: 10.1080/09273948.2022.2046792. Epub 2022 May 6.

DOI:10.1080/09273948.2022.2046792

PMID:35522207

Abstract

PURPOSE

To analyze clinical characteristics of scleritis in elderly patients and also compare the data with relatively younger patients with scleritis (<60 years).

METHOD

Retrospective analysis of medical records of patients with scleritis who visited a tertiary eye care centre between 2008 and 2018.

RESULT

Scleritis in ≥60 years accounted for 3% of the total scleritis cases. The mean age of the patients was 67 ± 6 years, and a female (66%) predominance was noted. Of the 44 elderly patients with scleritis, 48% were 66-70 years of age and 20% were above 70 years of age. Diffuse scleritis was the most common subtypes followed by necrotizing scleritis (35%). Overall, 32% of elderly patients with scleritis had underlying disease and the most common systemic association was granulomatous with polyangiitis. When compared with a subset of patients (<60 years of age), the elderly group showed higher rate of recurrences and complications.

CONCLUSION

Scleritis in elderly patients is relatively rare but can have a higher recurrence rate with a increased complications.

摘要

目的

分析老年患者巩膜炎的临床特征，并与相对年轻的巩膜炎患者（<60 岁）的数据进行比较。

方法

回顾性分析 2008 年至 2018 年期间在一家三级眼科中心就诊的巩膜炎患者的病历。

结果

≥60 岁的巩膜炎患者占总巩膜炎病例的 3%。患者的平均年龄为 67±6 岁，女性（66%）居多。44 名老年巩膜炎患者中，48%为 66-70 岁，20%超过 70 岁。弥漫性巩膜炎是最常见的亚型，其次是坏死性巩膜炎（35%）。总的来说，32%的老年巩膜炎患者有基础疾病，最常见的系统性疾病是肉芽肿性多血管炎。与部分（<60 岁）患者相比，老年组复发率和并发症发生率更高。