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Bilateral posterior scleritis after sequential bilateral cataract surgery: a case report.

Chae-Min Hong^1,2, Min-Ho Shin³, Seong-Jae Kim^1,2,4

¹Department of Ophthalmology, College of Medicine, Gyeongsang National University, Gangnam-ro 79, Gyeongnam, Jinju, South Korea.

BMC Ophthalmology

|July 26, 2022

Summary

This case report details a rare instance of bilateral posterior scleritis following cataract surgery. High-dose steroid therapy successfully treated the condition, restoring vision without relapse.

Keywords:

Cataract surgery Posterior scleritis Steroids

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Area of Science:

Ophthalmology
Inflammatory diseases
Surgical complications

Background:

Posterior scleritis is a rare inflammatory eye condition that can cause significant vision loss.
Post-surgical posterior scleritis, unrelated to systemic disease, is exceptionally uncommon.
This case highlights a rare instance of bilateral posterior scleritis after cataract surgery.

Observation:

A 55-year-old male presented with acute vision loss and ocular pain in both eyes post-cataract surgery.
Examination revealed bilateral serous macular detachment and optic disc swelling.
Ultrasonography and MRI confirmed bilateral scleral thickening and choroidal enhancement.

Findings:

Diagnosis of bilateral posterior scleritis was confirmed via MRI.
High-dose steroid therapy was initiated for treatment.
The patient experienced improved visual acuity and resolution of retinal detachment.

Implications:

High-dose steroids are an effective treatment for post-surgical posterior scleritis.
This case represents the first reported instance of non-systemic posterior scleritis following surgery.
Early diagnosis and treatment are crucial for preserving vision in such rare cases.