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Bilateral posterior scleritis

E M Dodds1, L A Irarrázaval, A Scarfone

  • 1doddse@overnet.com.ar

Ocular Immunology and Inflammation
|February 10, 1998
PubMed
Summary
This summary is machine-generated.

This case study highlights a rare, painless presentation of posterior scleritis (inflammation of the back of the eye). It occurred in a young man with fundus masses and macular detachment, emphasizing atypical disease manifestations.

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Area of Science:

  • Ophthalmology
  • Inflammatory diseases

Background:

  • Posterior scleritis is an inflammation of the posterior sclera.
  • It can present with varied clinical manifestations.

Observation:

  • A healthy 21-year-old male presented with painless, bilateral posterior scleritis.
  • Clinical findings included circumscribed fundus masses and exudative macular detachment.

Findings:

  • Fluorescein angiography revealed distinct hyper-fluorescent patterns for each manifestation.
  • Ultrasound confirmed scleral thickening.
  • Fundoscopic abnormalities resolved with oral prednisone treatment.

Implications:

  • Pain is not a universal symptom of posterior scleritis.
  • Exudative macular detachment and fundus masses represent an unusual presentation of posterior scleritis.