Posterior scleritis in a 9-year-old boy: a case report

Area of Science:

• Ophthalmology
• Pediatric Ophthalmology

Background:

• Posterior scleritis is an uncommon inflammatory eye condition.
• It typically affects middle-aged women and presents with specific ocular signs.

Purpose of the Study:

• To describe a rare case of posterior scleritis in a pediatric patient.
• To highlight an atypical presentation in a young male child.

Main Methods:

• This study is a case report.
• Clinical findings and diagnostic imaging (B-scan ultrasound) were utilized.

Main Results:

• The patient, a 9-year-old boy, presented with unilateral decreased vision.
• Signs included extraocular and intraocular inflammation, optic disk and macular edema, and a T-sign on B-scan ultrasound.
• The condition was successfully treated with oral steroids.

Conclusions:

• Posterior scleritis can occur in children, presenting atypically.
• Early diagnosis and treatment with oral steroids led to visual recovery and inflammation resolution.