Monocular posterior scleritis presenting as acute conjunctivitis:A case report  

作　　者：Yan-Zhen Li Xiu-Hong Qin Jian-Min Lu Yong-Ping Wang 

机构地区：[1]Department of Ophthalmology,The First Affiliated Hospital of Dalian Medical University,Dalian 116011,Liaoning Province,China

出　　处：《World Journal of Clinical Cases》2020年第20期5030-5035,共6页世界临床病例杂志

基　　金：the National Natural Science Foundation of China,No.81300737;the Natural Science Foundation of Liaoning Province of China,No.20180550524。

摘　　要：BACKGROUND Posterior scleritis is a rare inflammatory ocular disease,characterized by severe and painful inflammation of the sclera.It is often misdiagnosed or underdiagnosed,due to its general and varying clinical presentation profile,which primarily involves pain and visual impairment but which can include eyelid edema,choroidal folds,serous retinal detachment,disc edema,hard exudates in fovea and subretinal mass.We report here a case of posterior scleritis,with symptoms of eye pain and red eye,initially misdiagnosed as acute conjunctivitis.CASE SUMMARY A 56-year-old man presented to a local hospital with complaint of pain and redness in the right eye.The initial diagnosis was acute conjunctivitis and he was given antibiotic eyedrops.Upon week-long continuance of the symptoms despite treatment,he presented to our hospital.Initial examination revealed a shallow anterior chamber in the right eye and vision reduction to 0.6.Further testing by optical coherence tomography,ultrasound biomicroscopy,and fundus photography indicated diagnosis of posterior scleritis.The patient was given methylprednisolone(oral)on a tapered reduction schedule(starting with 70 mg/d).According to the peaks and troughs of symptoms,compound betamethasone injection was administered into the bulb,culminating in discontinuation of the oral corticosteroid.Subsequent optical coherence tomography showed the subretinal fluid near the optic disc to be completely absorbed after treatment.CONCLUSION Posterior scleritis should be among the differential diagnosis of eye pain and redness,and diagnosis requires further ophthalmic accessory examination,such as by optical coherence tomography.

关 键 词：Posterior scleritis Eye pain SCLERA Differential diagnosis Optical coherence tomography Case report 

分 类 号：R772.3[医药卫生—眼科]