Posterior scleritis

Discussion:

Diagnosis was confirmed by Ultrasonography and the patient improved after systemic steroid treatment.

Scleritis is a rare, underdiagnosed vision-threatening condition.

The etiology of scleritis is mainly inflammatory noninfectious, either idiopathic or in the context of systemic disease (e.g. rheumatoid, systemic lupus, granulomatosis with polyangiitis or Behçet).

Ultrasonography remains the criterion standard in diagnostic imaging of this condition.

CT and MRI also play an important role in diagnosis, radiological features include:

  • scleral thickening end enhancement
  • periscleral edema

Treatment: using nonsteroidal anti-inflammatory drugs or steroids.

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