Ophthalmic Surgery, Lasers and Imaging Retina

Images in Ophthalmology 

Posterior Scleritis

Ryan A. Shields, MD; Ira H. Schachar, MD

Abstract

The patient is a 19-year-old female who presented with 3 weeks of right eye pain, eyelid swelling, blurry vision, and headache. Visual acuity was counting fingers at 1 foot. Intraocular pressure was normal, and there was diffuse scleral injection on anterior examination. She had a mild anterior chamber reaction with 15 cells/high-powered field and a mild vitreous inflammatory reaction. Fundus examination revealed diffuse choroidal thickening with multilobulated serous retinal detachments worse inferiorly (Figures 1 and 2). Fluorescein angiography demonstrated severe optic disc leakage. Ultrasonography demonstrated diffuse choroidal thickening, a serous retinal detachment, and a prominent “T-sign” (Figure 3). The patient was diagnosed with posterior scleritis and treated with 80 mg of oral prednisone.

[Ophthalmic Surg Lasers Imaging Retina. 2019;50:660.]

Abstract

The patient is a 19-year-old female who presented with 3 weeks of right eye pain, eyelid swelling, blurry vision, and headache. Visual acuity was counting fingers at 1 foot. Intraocular pressure was normal, and there was diffuse scleral injection on anterior examination. She had a mild anterior chamber reaction with 15 cells/high-powered field and a mild vitreous inflammatory reaction. Fundus examination revealed diffuse choroidal thickening with multilobulated serous retinal detachments worse inferiorly (Figures 1 and 2). Fluorescein angiography demonstrated severe optic disc leakage. Ultrasonography demonstrated diffuse choroidal thickening, a serous retinal detachment, and a prominent “T-sign” (Figure 3). The patient was diagnosed with posterior scleritis and treated with 80 mg of oral prednisone.

[Ophthalmic Surg Lasers Imaging Retina. 2019;50:660.]

Authors

Byers Eye Institute, Department of Ophthalmology, Stanford University School of Medicine, Palo Alto, California.

The authors report no relevant financial disclosures.

Address correspondence to Ryan A. Shields, MD, Byers Eye Institute, Department of Ophthalmology, Stanford University School of Medicine, 2452 Watson Ct., Palo Alto, CA, 94303; email: ras3@stanford.edu.

Received: February 02, 2019
Accepted: April 03, 2019

10.3928/23258160-20191009-11

Sign up to receive

Journal E-contents