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Abstract #49247 Published in IGR 14-1
Posterior Scleritis Presenting with Angle Closure Glaucoma
Ugurbas SH; Alpay A; Ugurbas SCOcular Immunology and Inflammation 2012; 20: 218-220
PURPOSE: To report a case of posterior scleritis associated with angle closure glaucoma and transient myopia. METHODS: A previously healthy 29-year-old male was referred for YAG laser iridotomy to treat angle closure glaucoma. He was suffering from severe pain and vision loss in his right eye. Findings on examination were hyperemia, proptosis, and myopia measuring approximately 6 diopters. Diagnosis of posterior scleritis was made due to presence of choroidal thickening, sub-Tenon effusion and the classical "T" sign observed on orbital ultrasonography. RESULTS: Treatment was initiated using oral prednisolone. After 8 days, the patient's symptoms regressed and visual acuity returned to 20/20. CONCLUSIONS: Posterior scleritis is an often misdiagnosed eye disease. Pain is the main symptom and may be accompanied by decrease in visual acuity. Early diagnosis and treatment is important to avoid permanent visual loss.
Department of Ophthalmology, Zonguldak Karaelmas University, the School of Medicine , Zonguldak , Turkey.
Full articleClassification:
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
9.4.2.5 Other (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.2 Glaucomas associated with disorders of the cornea, conjunctiva, sclera)
