Scleritis
This book offers a concise but comprehensive overview of scleritis, with up-to-date information on all aspects, including diagnosis and treatment. Fundamental features of the pathogenesis of scleral inflammation are first discussed as a basis for understa
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Carlos Pavesio Editor
Scleritis
Essentials in Ophthalmology Series Editor Arun D. Singh
More information about this series at http://www.springer.com/series/5332
Carlos Pavesio Editor
Scleritis
Editor Carlos Pavesio, MD, FRCOphth Moorfields Eyes Hospital London, United Kingdom
ISSN 1612-3212 ISSN 2196-890X (electronic) Essentials in Ophthalmology ISBN 978-3-319-49913-0 ISBN 978-3-319-49915-4 (eBook) DOI 10.1007/978-3-319-49915-4 Library of Congress Control Number: 2017930690 © Springer International Publishing AG 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
Inflammation of the sclera is a relatively uncommon problem in most practices, but its acute presentation and possible progression to globe destruction with visual loss and also the potential link with a serious underlying systemic disease always generate anxiety for the treating ophthalmologist. A good understanding of the presenting clinical signs, especially the recognition of signs indicating progression to a more severe disease, is essential for a good outcome. The next chapters will try to make this task easier by highlighting the key aspects of the clinical presentations and also describing the potential causes of scleritis, both those considered purely related to an immune mechanism, by the far the most common, and those linked to an infectious aetiology. The diagnostic approach to scleritis will also be clearly described which will hopefully allow the reader to rationalise the way to investigate these cases and avoid some pitfalls usually related to poor recognition of clinical signs and inappropriate testing. A chapter on complications will address the many possible ocular morbidities associated with this inflammatory problem and how to address them. Finally w
