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Year : 2020  |  Volume : 12  |  Issue : 1  |  Page : 30-32

Posterior scleritis: Cause of diagnostic confusion

University Hospital Center Mohammed VI, Oujda, Morocco

Correspondence Address:
Dr. Abdi Rhizlane
Kenzi II Residency, R21 0 D hay al Andalouss, Oujda
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DOI: 10.4103/sjopthal.sjopthal_9_20

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Posterior scleritis can occur in isolation or concomitantly with anterior scleritis. Some investigators include posterior scleritis as an anterior variant of inflammatory pseudotumor. The main clinical manifestations are pain, exophthalmia, decreased visual acuity, and occasionally, restricted ocular motility. Choroidal folds, exudative retinal detachment, papillary edema, and angle-closure glaucoma secondary to choroidal thickening may be observed. The diagnosis can be missed in the absence of associated anterior scleritis. Demonstration of thickened posterior sclera by echography, computed tomographic scan, or magnetic resonance imaging may be helpful in establishing the diagnosis. Often, no related systemic disease can be found in patients with posterior scleritis.

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