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Fungal scleritis with exudative retinal detachment
Swapnesh D Sawant1, Jyotirmay Biswas
1Department of Uvea and Vitreo Retinal Services, Sankara Nethralaya, Chennai, India. dr_swapneshs@yahoo.com
Ocular Immunology and Inflammation
|September 18, 2010
Summary
Fungal scleritis can mimic noninfective forms and may persist even after treatment. This case highlights the importance of considering fungal infections in persistent scleritis, even when exudative retinal detachment remains.
Area of Science:
- Ophthalmology
- Mycology
Background:
- Scleritis is a serious inflammatory condition of the eye's white outer layer.
- Fungal scleritis is rare and can mimic other forms of scleritis, complicating diagnosis and treatment.
Observation:
- A case of nonresolving fungal scleritis presented, initially mimicking noninfective scleritis.
- Diagnosis was confirmed via scleral scraping, followed by treatment with systemic and topical antifungals and topical steroids.
Findings:
- Complete resolution of fungal scleritis was achieved with antifungal therapy.
- Persistent exudative retinal detachment was observed even after the scleritis resolved.
Implications:
- Infectious scleritis, particularly fungal, should be considered in refractory cases unresponsive to immunosuppressive therapy.
- Persistent exudative retinal detachment post-scleritis resolution may require further management, potentially including vitreo-retinal surgery.
