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
From the case:
Posterior scleritis
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Thickening with enhancement involving the outer aspect of left posterior sclera with mild inflammatory stranding in orbital fat and possible extension to optic nerve sheath.
Right orbit including the optic nerve appears unremarkable.
The brain parenchyma is unremarkable. The 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 the brain are normal.
Case Discussion
Findings are consistent with posterior scleritis.
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