Identified cause of Scleritis | Number (Percentage) | Age (years) | Gender | Anatomical Localization (Ratio, %) | Time from Diagnosis to Rituximab Treatment (months) | Rituximab Regimen (Ratio, %) | Positive Therapeutic Response (Ratio, %) | Recurrence (Ratio, %) | Adverse Events (Ratio, %) |
---|---|---|---|---|---|---|---|---|---|
Granulomatosis with Polyangiitis (GPA) | 75 (62.0%) | Mean: 48.2 ± 16.0 Median: 50.0 Range: 21.0–72.0 | M:F 0.80:1 | Unspecified scleritis (35/75, 46.7%); Anterior scleritis (34/75, 45.3%); Posterior scleritis (3/75, 4.0%); Episcleritis (2/75, 2.7%); Anterior and posterior scleritis (1/75, 1.3%) | Mean: 30.9 ± 29.5 Median: 21 Range: 1–96 | Rheumatologic (57/68, 83.8%); Foster (4/68, 5.9%); Other (4/68, 5.9%); Oncologic (3/68, 4.4%) | 71/73, 97.3% | 21/73, 28.8% | None (40/45, 88.9%); Disease exacerbation (2/45, 4.4%); Herpes zoster (1/45, 2.2%); Ocular hypertension (1/45, 2.2%); Dry eyes, weight loss, fatigue, joint pain (1/45, 2.2%) |
Rheumatoid arthritis (RA) | 15 (12.4%) | Mean: 53.3 ± 12.2 Median: 55.0 Range: 27.0–74.0 | M:F 1:0.83 | Anterior scleritis (8/15, 53.3%); Unspecified scleritis (6/15, 40.0%); Anterior and posterior scleritis (1/15, 6.7%) | NR | Rheumatologic (10/11, 90.9%); Foster (1/11, 9.1%) | 11/11, 100% | 2/10, 20.0% | None (8/11, 72.7%); Infusion hypotension (1/11, 9.1%); Acute retinal necrosis (1/11, 9.1%); Itching with infusion (1/11, 9.1%) |
GPA and RA | 3 (2.5%) | NR | M:F 0.5:1 | Anterior scleritis (2/3, 66.7%) Anterior and posterior scleritis (1/3, 33.3%) | Mean: 9 Median: 8 Range: 5–14 | Rheumatologic (2/3, 66.7%); Oncologic (1/3, 33.3%) | 3/3, 100% | 2/3, 66.7% | None (2/3, 66.7%); Bronchitis (1/3, 33.3%); Bacterial pneumonia (1/3, 33.3%); Leukopenia (1/3, 33.3%); Anemia (1/3, 33.3%) |
ANCA-associated vasculitis, not otherwise specified | 5 (4.1%) | Mean: 59.6 Median: 59.0 Range: 41.0–78.0 | M:F0.67:1 | Episcleritis (5/5, 100%) | NR | Rheumatologic (5/5, 100%) | 5/5, 100% | NR | None (4/4, 100%) |
Othera | 8 (6.7%) | Mean: 52.0 ± 23.7 Median: 53.0 Range: 17.0–81.0 | M:F 0.4:1 | Anterior scleritis (4/8, 50.0%); Unspecified scleritis (3/8, 37.5%); Posterior scleritis (1/8, 12.5%) | NR | Rheumatologic (3/7, 42.9%); Foster: (2/7, 28.6%); Other: (2/7, 28.6%) | 6/7, 85.7% | 0/6, 0% | None (3/4, 75.0%); Pneumonia and septic shock (1/4, 25.0%) |
Indeterminate | 15 (12.4%) | Mean: 37.4 ± 15.0 Median: 43.0 Range: 16.0–57.0 | M:F 0.22:1 | Anterior scleritis (9/15, 60.0%); Posterior scleritis (2/15, 13.3%); Unspecified scleritis (4/15, 26.7%) | NR | Rheumatologic (3/8, 37.5%); Oncologic (2/8, 25.0%); Foster (2/8, 25.0%); Other (1/8, 12.5%) | 7/9, 77.8% | 1/7, 14.3% | None (14/15, 93.3%); Itcing with infusion (1/15, 6.7%) |