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Bilateral posterior scleritis
E M Dodds1, L A Irarrázaval, A Scarfone
1doddse@overnet.com.ar
Purpose:
To describe an unusual presentation of posterior scleritis in a healthy young patient.
Method:
We reviewed the medical record of 21-year-old man for clinical presentation, course, and ancillary studies.
Results:
The healthy patient had a painless, bilateral posterior scleritis that presented with a combination of circumscribed fundus masses and exudative macular detachment. On fluorescein angiography, different hyper-fluorescent patterns characterized the two manifestations of posterior scleritis. An ultrasound confirmed the scleral thickening. Fundoscopic abnormalities resolved with oral prednisone.
Conclusion:
Pain is not always present in this disease. A combination of exudative macular detachment and circumscribed fundus masses can be a form of presentation in posterior scleritis.