Posterior scleritis

Abstract

Posterior scleritis must be considered in the differential diagnosis of many ocular conditions, including angle closure glaucoma, choroidal folds, optic disk edema, circumscribed fundus mass, choroidal detachment, and exudative retinal detachment. Because it is rare, a high index of suspicion is necessary. Anterior scleritis, pain, or a history of collagen-vascular disease, when present, help to alert the clinician to the correct diagnosis. Posterior scleritis affects women more often than men, but annular ciliochoroidal effusion and choroidal folds are more common in men. Exudative macular detachment and a circumscribed fundus mass are more common in women. This paper reviews the world literature on posterior scleritis and describes findings in a series of 43 patients seen at Wills Eye Hospital. It stresses the clinical features and ancillary diagnostic tests that help to establish the diagnosis.

Hemiretinal vein occlusion associated with pseudotumour orbit: an observational case report

“…Of note, vasculitis has also been reported in association with posterior scleritis. 8,9 As a corollary, although there was no ultrasonographic evidence of posterior scleritis in our patient, the inflammatory focus in the superior intraconal space could have spread to the adjacent superior hemiretinal vein. Additionally there was evidence of optic nerve sheath inflammation on CT scan, although this was not evident clinically or ultrasonographically.…”

An unusual appearance of limbal conjunctival follicles in a patient on brimonidine and dorzolamide

“…8,9 As a corollary, although there was no ultrasonographic evidence of posterior scleritis in our patient, the inflammatory focus in the superior intraconal space could have spread to the adjacent superior hemiretinal vein. Additionally there was evidence of optic nerve sheath inflammation on CT scan, although this was not evident clinically or ultrasonographically.…”

Esclerite posterior associada à oclusão da veia central da retina e edema macular cistoide: relato de caso

“…Além do quadro clínico, a ecografia B mostra-se de grande utilidade para confirmar o diagnóstico, achados ecográficos são muito comuns e fundamentais para o acompanhamento desses casos (1,2) , principalmente quando não há sinais fundoscópicos.…”

“…Definida como um processo inflamatório da esclera posterior até a ora serrata com sintomas que, frequentemente, simulam outras condições, sendo uma doença pouco diagnosticada (1)(2)(3) .Como em outras formas de esclerites, a dor é um sintoma importante e a visão pode ser gravemente afetada. Além do quadro clínico, a ecografia B mostra-se de grande utilidade para confirmar o diagnóstico, achados ecográficos são muito comuns e fundamentais para o acompanhamento desses casos (1,2) , principalmente quando não há sinais fundoscópicos.…”

“…Definida como um processo inflamatório da esclera posterior até a ora serrata com sintomas que, frequentemente, simulam outras condições, sendo uma doença pouco diagnosticada (1)(2)(3) .…”