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Recurrent posterior scleritis--report of a case
Saban Horo1, S Sudharshan, Jyotirmay Biswas
1Medical and Vision Research Foundations, Sankara Nethralaya, Chennai, India.
Ocular Immunology and Inflammation
|March 2, 2006
Summary
Posterior scleritis, an uncommon inflammatory eye condition, can cause vision loss. This case highlights a patient experiencing multiple recurrences, emphasizing the need for awareness and management of this serious disorder.
Area of Science:
- Ophthalmology
- Inflammatory eye diseases
Background:
- Posterior scleritis is a severe, potentially blinding ocular inflammation.
- It is often underdiagnosed due to varied symptoms and lack of familiarity among general ophthalmologists.
- The condition can be idiopathic or linked to systemic diseases.
Observation:
- The most frequent symptoms include blurred or distorted vision.
- Patients may experience orbital pain, tenderness, and discomfort.
- A previously reported recurrence rate for posterior scleritis is 49%.
Findings:
- Posterior scleritis typically responds to anti-inflammatory drugs, steroids, and immunosuppressants.
- While recurrences can happen despite treatment, multiple episodes are considered uncommon.
- This report details a patient with one episode in the right eye and four in the left over 35 months.
Implications:
- This case underscores the possibility of recurrent posterior scleritis, even with treatment.
- Increased awareness among ophthalmologists is crucial for timely diagnosis and management.
- Further research may be needed to understand and manage recurrent cases effectively.