A 28-year-old Filipino American man with dry eyes and recurrent episcleritis was first seen by us with anterior scleritis (Figure 1A), posterior scleritis (Figure 1B), and visual acuity of 20/200 OU. After initial improvement, posterior scleritis redeveloped with choroidal folds (Figure 2), optic disc edema (Figure 3A), and retinal striae (Figure 3B) that repeatedly recurred whenever prednisone therapy was tapered to less than 15 mg daily.
Wilhelmus KR, Yen MT, Rice L, Font RL. Necrobiotic Xanthogranuloma With Posterior Scleritis. Arch Ophthalmol. 2006;124(5):748. doi:10.1001/archopht.124.5.748