Scleritis Granulomatous Deep

Granulomatous deep scleritis is an inflammation of the sclera (the outer shell of the eyeball) with the formation of granulomas in the deep layers.

Characteristic features:

1. Soreness and redness of the sclera
2. Formation of nodules and tubercles in the thickness of the sclera
3. Decreased visual acuity
4. Feeling of a foreign body, itching, burning in the eye

Causes:

1. Infectious diseases (tuberculosis, syphilis, fungal infections)
2. Autoimmune diseases (rheumatoid arthritis, sarcoidosis, Crohn's disease)
3. Eye injury

Diagnosis is based on ophthalmoscopy, ultrasound and scleral biopsy.

Treatment:

1. Anti-inflammatory drugs
2. Immunosuppressants
3. Antibiotics or antifungal drugs for infectious etiologies
4. Surgical removal of large granulomas

If left untreated, serious complications are possible - the formation of permanent deformation and decreased vision up to blindness.

Deep granulomatous scleritis (eng. deep scleritis with granulomatous inflammation; abbreviated as DSGG or DGSG) is a rare inflammatory disease of the eye wall, characterized by a combination of deep scleritis (partial or complete destruction of the sclera) with purulent inflammation and granulomatous changes. Although rare, scleritis is one of the most serious inflammations of the sclera and can lead to a variety of consequences, including decreased vision, bone loss, and uveitis.

This medical phenomenon has hardly been studied. The disease is more common in patients with weak immunity, after tuberculosis, less often in patients with the herpes virus, and autoimmune diseases. The risk group also includes