Posterior scleritis

Case contributed by Dr Utkarsh Kabra

Presentation

Diminution of vision in left eye with pain; macular edema on clinical examination, visual acuity in left eye 6/36 on the Snellen scale.

Patient Data

Age: 25 years
Gender: Male
MRI

Thickening with enhancement involving outer aspect of left posterior sclera with mild inflammatory stranding in orbital fat and possible extension to optic nerve sheath.

Right orbit including optic nerve appears unremarkable.                                                          The brain parenchyma is unremarkable.
Cerebellum, brain stem and pituitary gland are normal.
Lateral, third and fourth ventricles are normal in size, shape and position.
Basal cisterns, fissures and sulci are normal.
Major signal void areas of brain are normal.

Case Discussion

Findings are consistent with posterior scleritis.

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Case information

rID: 73567
Published: 18th Jan 2020
Last edited: 22nd Jan 2020
Inclusion in quiz mode: Included

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