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Article
August 1979

Posterior Scleritis A Cause of Diagnostic Confusion

Author Affiliations

From the Retina Service of the Wills Eye Hospital, Thomas Jefferson University (Drs Benson, Shields, and Tasman) and the Scheie Eye Institute, University of Pennsylvania (Dr Crandall), Philadelphia.

Arch Ophthalmol. 1979;97(8):1482-1486. doi:10.1001/archopht.1979.01020020144012
Abstract

• The referring diagnoses in seven women with posterior scleritis included intraocular neoplasm, retrobulbar tumor, choroiditis, and idiopathic central serous choroidopathy. In all cases, a localized area of intense posterior scleritis was responsible for the misdiagnosed ocular findings. Features that helped to correctly identify posterior scleritis were as follows: female sex; a history of anterior scleritis; a fundus mass the same color as normal adjacent pigment epithelium; choroidal folds; serous retinal detachment with cloudy fluid; early pinpoint leaking spots from fluorescein angiography; and thickening of the posterior coats of the eye, retrobulbar edema, and high internal reflectivity on ultrasonography. Corticosteroids given for retrobulbar or systemic effect provided effective treatment.

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