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Stellate neuroretinitis associated with posterior scleritis
Darin R Goldman1, Mark W Johnson, David Sarraf
1*Department of Ophthalmology, Jules Stein Eye Institute, UCLA Geffen School of Medicine, Los Angeles, California †Department of Ophthalmology and Visual Sciences, W. K. Kellogg Eye Center, University of Michigan Medical School, Ann Arbor, Michigan ‡Department of Ophthalmology, Greater Los Angeles VA Healthcare Center, Los Angeles, California.
This study reports two cases of stellate neuroretinitis, a rare eye condition, linked to posterior scleritis. Posterior scleritis should be considered in diagnosing neuroretinitis of unknown causes.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Inflammatory Eye Conditions
Background:
- Stellate neuroretinitis is an uncommon condition characterized by inflammation of the optic nerve and retina.
- The etiology of stellate neuroretinitis is often idiopathic, posing diagnostic challenges.
Purpose of the Study:
- To report two cases of stellate neuroretinitis associated with posterior scleritis.
- To highlight posterior scleritis as a potential underlying cause of idiopathic stellate neuroretinitis.
Main Methods:
- Retrospective observational case series.
- Involved detailed clinical evaluation, diagnostic imaging (radiography, ultrasonography), and fluorescein angiography.
Main Results:
- Two middle-aged female patients presented with unilateral decreased vision and clinical signs of stellate neuroretinitis.
- Standard etiological workup for neuroretinitis was negative in both cases.
- Imaging studies revealed findings consistent with posterior scleritis.
Conclusions:
- This is the first report linking posterior scleritis to stellate neuroretinitis.
- Posterior scleritis should be included in the differential diagnosis for patients presenting with stellate neuroretinitis of unknown origin.
