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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.

American Journal of Ophthalmology
|November 1, 1995
PubMed
Summary

This study reports a rare case of posterior scleritis in a patient with sarcoidosis, leading to angle-closure glaucoma. The unusual association highlights the complexity of sarcoidosis ocular manifestations.

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Area of Science:

  • Ophthalmology
  • Rheumatology
  • Pathology

Background:

  • Posterior scleritis is an uncommon inflammatory condition affecting the posterior uvea.
  • Sarcoidosis is a multisystem inflammatory disease that can affect the eyes.
  • Angle-closure glaucoma can arise from various mechanisms, including inflammatory processes.

Observation:

  • A patient with confirmed sarcoidosis presented with posterior scleritis.
  • The posterior scleritis led to an annular ciliochoroidal detachment.
  • This detachment resulted in unilateral angle-closure glaucoma.

Findings:

  • Sarcoidosis was diagnosed via parotid gland biopsy.
  • The patient exhibited both posterior scleritis and angle-closure glaucoma.
  • An annular ciliochoroidal detachment was identified as the cause of glaucoma.

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Implications:

  • This case highlights an unusual association between sarcoidosis and posterior scleritis with secondary annular ciliochoroidal detachment.
  • The delayed clinical and echographic presentation of angle-closure glaucoma in such cases should be considered.
  • Early recognition and management of ocular manifestations in sarcoidosis are crucial.