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Posterior scleritis presenting as unilateral secondary angle-closure glaucoma
Sunil S Jain1, Prasan Rao, Kulin Kothari
1Bombay City Eye Institute and Research Centre, Mumbai, India. reemjain@yahoo.com
Indian Journal of Ophthalmology
|October 30, 2004
Summary
A case report highlights that posterior scleritis can cause acute angle-closure glaucoma. Oral corticosteroids effectively treated both the glaucoma and associated retinal detachment.
Area of Science:
- Ophthalmology
- Rheumatology
Background:
- Acute angle-closure glaucoma is an ophthalmic emergency.
- Posterior scleritis is an uncommon inflammatory condition affecting the posterior uvea.
Observation:
- A 19-year-old male presented with unilateral acute angle-closure glaucoma.
- Clinical examination and ultrasound B-scan confirmed posterior scleritis.
Findings:
- The patient experienced complete resolution of the acute angle closure attack.
- Exudative retinal detachment also resolved following treatment.
Implications:
- This case underscores the importance of considering posterior scleritis in the differential diagnosis of acute angle-closure glaucoma.
- Prompt diagnosis and treatment with oral corticosteroids can lead to favorable visual outcomes.