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Posterior scleritis with annular ciliochoroidal detachment
E M Dodds1, C Y Lowder, D A Barnhorst
1Division of Ophthalmology, Cleveland Clinic Foundation, OH 44195, USA.
Purpose:
We studied an unusual case of posterior scleritis in a patient with sarcoidosis.
Method:
The medical record was reviewed for clinical manifestation, course, and tests performed, including laboratory evaluations, fluorescein angiography, and ultrasonography.
Results:
The patient had posterior scleritis and unilateral angle-closure glaucoma caused by an annular ciliochoroidal detachment. Sarcoidosis was confirmed by biopsy of an enlarged parotid gland.
Conclusion:
The mechanism of angle-closure glaucoma may not be clinically or echographically apparent for a week or more in patients who develop annular ciliochoroidal detachment. We also found an unusual association of sarcoidosis and annular ciliochoroidal detachment secondary to posterior scleritis.