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Posterior scleritis as an intraocular tumour
P T Finger1, H D Perry, S Packer
1Department of Ophthalmology, North Shore University Hospital-Cornell University Medical College, Manhasset, New York 11030.
The British Journal of Ophthalmology
|February 1, 1990
Summary
Posterior scleritis can mimic intraocular tumors, posing diagnostic challenges. This case highlights scleral thickening and necrosis as a rare presentation of posterior scleritis.
Area of Science:
- Ophthalmology
- Pathology
Background:
- Posterior scleritis is an inflammatory condition of the sclera.
- It can present atypically, mimicking other intraocular pathologies.
Observation:
- A 66-year-old male presented with decreased visual acuity.
- Imaging revealed a large, discrete 'subretinal tumor' (15 x 17 mm base, 8.3 mm height).
- The patient had no symptoms of pain, proptosis, or diplopia.
Findings:
- Histological examination confirmed the 'tumor' was grossly thickened and necrotic sclera.
- This represents a rare presentation of posterior scleritis.
Implications:
- This case underscores the importance of considering posterior scleritis in the differential diagnosis of intraocular tumors.
- Early diagnosis and appropriate management are crucial for visual outcomes.