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Posterior scleritis.

W E Benson1

  • 1Retina Service, Wills Eye Hospital, Philadelphia, Pennsylvania.

Survey of Ophthalmology
|March 1, 1988
PubMed
Summary
This summary is machine-generated.

Posterior scleritis, a rare eye condition, requires a high index of suspicion for diagnosis. Recognizing its varied presentations is key for accurate identification and management of this ocular disease.

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Area of Science:

  • Ophthalmology
  • Rheumatology

Background:

  • Posterior scleritis is an uncommon inflammatory condition of the eye.
  • It can mimic various other ocular pathologies, necessitating a broad differential diagnosis.

Purpose of the Study:

  • To review the world literature on posterior scleritis.
  • To describe clinical features and diagnostic findings in a series of 43 patients.

Main Methods:

  • Literature review.
  • Retrospective case series analysis of 43 patients.

Main Results:

  • Posterior scleritis presents with diverse clinical features, often mimicking conditions like angle closure glaucoma and exudative retinal detachment.
  • Demographic differences observed: women more affected overall, but men more prone to annular ciliochoroidal effusion and choroidal folds, while women more often exhibit exudative macular detachment.

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Conclusions:

  • A high index of suspicion is crucial for diagnosing posterior scleritis due to its rarity and varied presentations.
  • Anterior scleritis, pain, and history of collagen-vascular disease are important diagnostic clues.
  • Clinical features and ancillary tests are vital for establishing the diagnosis.