BackgroundScleritis is a painful inflammatory process centered in the sclera that may involve the cornea and the underlying uvea. The etiology is commonly idiopathic or autoimmune but some cases are associated with systemic infection such as tuberculosis.Case presentationIn this report, we describe an unusual case of a female Moroccan patient who had a long history of bilateral recurrent scleritis associated with peripheral keratopathy and anterior uveitis. The patient was diagnosed with latent tuberculosis and responded to antitubercular therapy administrated after exclusion of other aetiologies. This patient was finally diagnosed with latent tuberculosis- related scleritis.ConclusionsAlthough systemic tuberculosis is reported as a possible cause of scleritis and other ocular inflammatory manifestations, assessment of the diagnosis of tuberculosis-related ocular inflammation is challenging especially in latent forms. The treatment is largely presumptive. However, a favorable response to antitubercular therapy without relapse is taken as evidence of the disease.

Open-angle glaucoma is a progressive optic neuropathy characterized by retinal ganglion cell loss and structural changes in the retinal nerve fiber layer (RNFL) and optic nerve head (ONH) that may lead to visual field loss [1]. Diagnosis of glaucomatous This article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially

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Introduction : Severe Scleral Dellen is a rare and early postoperative complication of pterygium surgery. The various cases reported in the literature are mostly related to this surgical technique; simple excision of the conjunctiva, notably either without adjuvant treatment or using mitomycyine C in preoperative or otherwise beta radiation. The particularity of our case is that the scleral Dellen is associated with excision and simple suture of the conjunctiva without adjuvant treatment or cauterization of the vessels. The other particularity of this case is that it is to our knowledge the first case of scleral dellen reported in Morocco, and even at the African level. Case report This case is a 38-year-old military patient with no medical history The patient was scheduled for pterygium surgery. 16 days later, the patient came back after noticing the appearance of a blackish brown spot at the nasal side of the right eye associated with mild eye pain. The slit lamp examination of the involved eye revealed a severe scleral thining, surrounded by an oedematous conjunctiva and the visualization of the ciliary body through the fine sclera. The conjunctival sutures were no longer in place. After three days and with treatement, we observed a scleral cicatrization, followed by a gradual covering of the sclera by conjunctiva. Discussion : In our case as in that described by Garcia-Medina and collaborators, we performed a conjunctival suture with two stitches to cover the sclera. Otherwise, both of the stitches were not found later, which suggests that, like in the Garcia-Medina report; a bad handling by the patient  (eye rubbing), loose stitches or even both. Thus, the sclera would have been exposed in the two cases. Regarding the treatment of this complication, the graft of a conjunctival flap was performed in two cases with favorable evolution. In all other cases, only medical treatment has been successfully initiated. In our case we opted for medical treatment only, including local antibiotic therapy, intensive lubrication with artificial tears (hourly drop) and the occlusion of the eye. The evolution was also favorable under this treatment. Hence, our case is similar to the Garcias-Medina and collaborators one, concerning the surgical technique, and also the scleral Dellen treatment. Although the difference and the particularity of our case was the absence of cauterization use during the surgical act. Conclusion: Scleral Dellen is rare complication of pterygium surgery, which occurs early after the surgical act. Its exact physiopathology remains unknown, but some factors may be incriminated; first of them is the surgical technique as a simple excision with exposed sclera. This complication can occur in patients, without any particular medical or ophthalmological history or any underlying pathology. It could also occur for primary pterygium. Medical treatment alone may be appropriate to manage this complication.

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A 15-year-old child followed for Best vitelliform macular dystrophy presented to the clinic with an abrupt visual impairment of his left eye. Fundus examination showed bilateral vitelliform lesions, with serous retinal detachment and adjacent retinal hemorrhage in the left eye. Fluorescein angiography and optical coherence tomography confirmed the diagnosis of type-2 choroidal neovascularization complicating the Best disease. The juxtafoveal location of the choroidal neovascularization prompted us to realize monthly intra-vitreous injections of bevacizumab. After the fourth injection, we observed visual and anatomical improvement that remained stable after a 12-month follow-up. It’s important to look for complications in front of a sudden decrease in visual acuity in Best disease.

La maladie de Wilson est une maladie rare autosomique récessive due à une diminution de l’élimination du cuivre dans la bile et son accumulation toxique dans les organes en particulier le cerveau, le foie, la cornée et le rein d'où son hétérogénéité clinique. Les manifestations ophtalmologiques représentent des critères diagnostiques importants. Le traitement précoce permet une réversibilité des déficits; non traitée la maladie de Wilson est létale. Nous rapportons un cas familial de la maladie de Wilson: deux membres d'une fratrie issus d'un mariage consanguin étaient atteints de la maladie de Wilson dans ses trois formes cliniques: hépatique, neurologique et psychiatrique. Les manifestations ophtalmologiques de la maladie de Wilson sont l'anneau de Keyser Fleischer et la cataracte en tournesol, l'atteinte hépatique se manifeste par une hépatite chronique et une cirrhose, la symptomatologie neurologique et psychiatrique est variée; on retrouve à l'IRM une atteinte prédominante aux noyaux gris centraux. Le diagnostic positif de la maladie de Wilson est fait sur la triade: présence de l'anneau de Keyser Fleischer, céruloplasmine sanguine basse et augmentation de la cuprurie de 24 heures. Le traitement précoce basé sur les chélateurs de cuivre permet la réversibilité des lésions. Le pronostic dépend de la sévérité de la maladie lors du diagonstic et de la qualité de la prise en charge. Ce cas familial de la maladie de Wilson démontre l'importance du dépistage des membres pré symptomatique par un examen ophtalmologique et général rigoureux.