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Multimodal imaging in a child with severe posterior scleritis
Sibel Inan1, Elif Ertan2, Umit Ubeyt Inan3
1Department of Ophthalmology, School of Medicine, Health Sciences University, Afyon, Turkey.
Insights
This case report highlights multimodal imaging for diagnosing pediatric posterior scleritis. Advanced imaging effectively tracked disease progression and resolution in a 12-year-old boy.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Medical Imaging
Background:
- Posterior scleritis is a rare inflammatory eye condition, particularly in children.
- Limited literature exists on high-resolution imaging in pediatric posterior scleritis.
Observation:
- A 12-year-old boy presented with eye pain and decreased vision.
- Initial examination showed no anterior segment inflammation, but ultrasonography confirmed posterior scleritis.
- Subsequent multimodal imaging revealed exudative retinal detachment.
Findings:
- Multimodal imaging, including spectral domain optical coherence tomography (SD-OCT) with enhanced depth imaging, autofluorescence, multicolor imaging, fluorescein angiography (FA), indocyanine green angiography (ICG), and ultrasonography, was utilized.
- Imaging demonstrated the development of exudative retinal detachment.
- Following treatment, imaging confirmed the resolution of inflammation and retinal detachment.
Implications:
- Multimodal imaging is crucial for diagnosing and monitoring pediatric posterior scleritis.
- This case underscores the utility of advanced imaging techniques in visualizing disease evolution and treatment response.
- The findings emphasize the importance of comprehensive imaging in managing rare pediatric ocular inflammatory conditions.
Abstract:
Objective: Posterior scleritis in a child is a rare condition. High-resolution imaging techniques in the course of posterior scleritis have not been published extensively in literature. The authors reported a case of posterior scleritis in a 12-year-old child to demonstrate multimodal imaging techniques in the course of development and improvement of the disease. Methods: Case report that included fundus photography, spectral domain optical coherence tomography with enhanced depth imaging, blue-peak autofluorescence, multicolor imaging, fluorescein angiography, indocyanine green angiography, and ultrasonography. Results: A twelve-year-old healthy boy presented with ocular pain and mild vision loss. His visual acuity was 20/ 32. There was no sign of inflammation on the ocular surface. There were no cells in the anterior chamber or vitreous. Ultrasonography revealed the diagnosis of posterior scleritis. When he was seen the next day for multimodal imaging techniques, he presented with exudative retinal detachment with visual acuity of 20/ 100. One week after the beginning of the therapy, ocular symptoms, and findings resolved and visual acuity improved to 20/ 20. Conclusion: Multimodal imaging techniques, which are important for the diagnosis of posterior scleritis, before and after the treatment, are presented in this case report.
