Photo Essay
May 2006

Necrobiotic Xanthogranuloma With Posterior Scleritis

Author Affiliations

Copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2006

Arch Ophthalmol. 2006;124(5):748. doi:10.1001/archopht.124.5.748

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.

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