Patterns of Non-Infectious Scleritis across a Tertiary Eye Care Network Using the Indigenously Developed Electronic Medical Record System-eyeSmart.

Abstract

PURPOSE\nTo report the pattern of noninfectious scleritis across a tertiary eye-care network.\n\n\nMETHODS\nA three-year retrospective review of patients diagnosed with noninfectious scleritis was performed. Data were retrieved using diagnostic terms assigned to scleritis through the in-house eyeSmart-electronic medical record system.\n\n\nRESULTS\n1103 patients, with a mean age of 44.33\xa0±\xa014.38\xa0years and a median follow-up of 199.5\xa0days (range 32-685) were enrolled. Unilateral disease was noted in 85%. Diffuse anterior scleritis (n\xa0=\xa0542, 42.51%) and nodular scleritis (n\xa0=\xa0482, 38.12%) were the commonest subtypes. Systemic immune disease association was present in 65 (5.89%). Treatment at onset was topical corticosteroids (n\xa0=\xa0372, 36.54%) followed by oral non-steroidal anti-inflammatory drugs (n\xa0=\xa0351, 34.45%), oral corticosteroids in 184 (19.04%), and immunomodulators in 32 patients (3.54%).\n\n\nCONCLUSIONS\nThis study depicts the pattern of various noninfectious scleritis in a large cohort of patients. The present study helped to further customize the electronic medical records to minimize several data capture limitations.