J Korean Ophthalmol Soc.  2012 Jan;53(1):168-174. 10.3341/jkos.2012.53.1.168.

Two Cases of Young Patients with Bilateral Posterior Scleritis Accompanied with Serous Retinal Detachment

• Jeon CY
• Kang HJ
• Na SJ
• Lee TG

• KMID: 2215261
• DOI: http://doi.org/10.3341/jkos.2012.53.1.168

Abstract

PURPOSE
To report 2 young female patients with bilateral posterior scleritis and serous retinal detachment.
CASE SUMMARY
An 11-year-old girl (Case 1) and a 16-year-old girl (Case 2) visited our clinic with bilateral ocular pain, redness, and blurred vision. Slit lamp examinations revealed severe bilateral scleral injection and mild anterior chamber reactions. Fundus examinations showed bilateral serous retinal detachments in the macular area. In both patients, diffuse multifocal leaking and pooling were found at the macula in the early and late phase fluorescein angiography, respectively. On the B-mode ultrasounds and orbital images (MRI or CT), scleral thickening with retention of subtenons fluid were found. There were no systemic diseases associated with the conditions. We diagnosed the patients with bilateral posterior scleritis and administered systemic steroids. After systemic steroid treatment, all of the symptoms were alleviated. Three months after the regression, bilateral posterior scleritis recurred in patient 2. Oral cyclosporine 100 mg was additionally prescribed in addition to the previous medications that she had taken during her first treatment.
CONCLUSIONS
Two young patients diagnosed with posterior scleritis and serous retinal detachment was treated with systemic steroids. With proper examination and treatment, posterior scleritis can be treated with no complications.

Keyword

Posterior scleritis; Serous retinal detachment; Systemic steroid treatment

MeSH Terms

Adolescent
Anterior Chamber
Child
Cyclosporine
Female
Fluorescein Angiography
Humans
Orbit
Retention (Psychology)
Retinal Detachment
Retinaldehyde
Scleritis
Steroids
Vision, Ocular
Cyclosporine
Retinaldehyde
Steroids