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Posterior scleritis in a 7-month-old infant
K van der Maesen1, E J D'Haens, L J van Rijn
1Department of Ophthalmology, Free University Medical Center, Amsterdam, The Netherlands.
Insights
Posterior scleritis, a rare condition, can affect infants. This case highlights its importance in diagnosing acute orbital inflammation in babies under one year old.
Area of Science:
- Ophthalmology
- Pediatric Imaging
Background:
- Acute orbital inflammation in infants presents diagnostic challenges.
- Early misdiagnosis can lead to delayed treatment and potential complications.
Observation:
- A 7-month-old infant presented with symptoms suggestive of orbital inflammation.
- Initial diagnoses included preseptal cellulitis and endophthalmitis.
Findings:
- B-scan ultrasonography and computed tomography confirmed posterior scleritis.
- This diagnosis was made despite initial misdiagnoses.
Implications:
- Posterior scleritis must be considered in the differential diagnosis of orbital inflammation in infants.
- Advanced imaging is crucial for accurate diagnosis in young children.
- Timely diagnosis of posterior scleritis can prevent long-term visual impairment.
Abstract:
This article describes a 7-month-old infant with posterior scleritis, diagnosed on the basis of B-scan ultrasonography and computed tomography. The patient was initially diagnosed with preseptal cellulitis and endophthalmitis. Posterior scleritis should be considered in the differential diagnosis of acute orbital inflammation in children younger than 1 year.
