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Posterior scleritis: clinical profile and imaging characteristics
J Biswas1, S Mittal, S K Ganesh
1Medical Research Foundation, Chennai, India.
Indian Journal of Ophthalmology
|April 28, 1999
Summary
Posterior scleritis, an uncommon eye condition, presents with varied symptoms and is often misdiagnosed. Ultrasound and CT scans are crucial for accurate diagnosis, with most patients responding to steroid treatment.
Area of Science:
- Ophthalmology
- Medical Imaging
Background:
- Posterior scleritis is a rare inflammatory eye condition.
- Its diverse clinical manifestations often lead to misdiagnosis.
Purpose of the Study:
- To analyze the clinical profile and imaging features of posterior scleritis.
- To highlight the diagnostic utility of ultrasound and CT scans in this condition.
Main Methods:
- Retrospective case series of eight patients with posterior scleritis.
- Clinical examination, fundus evaluation, ultrasound, and computed tomography (CT) scans were performed.
Main Results:
- Common fundus findings included serous retinal detachment, choroidal folds, and disc edema.
- Anterior scleritis and uveitis were frequently associated.
- Ultrasound and CT scans confirmed the diagnosis in all cases.
- Most patients responded to systemic steroids; one required immunosuppressive therapy.
Conclusions:
- Posterior scleritis exhibits a wide range of clinical presentations.
- Ocular ultrasonography and CT scanning are invaluable tools for diagnosing posterior scleritis.
- Prompt diagnosis and appropriate treatment, often with systemic steroids, are essential.
