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Abstract
Purpose
Posterior scleritis is known to be a rare disease. The authors of the present study herein report a case of posterior scleritis, which occurred in a patient's eye, accompanied by hyperthyroidism and recurring in the other eye one year later.
Case summary
A 39-year-old female patient visited the hospital for ocular pain in the left eye and a headache. The patient was diagnosed with posterior scleritis through fundus examination, ultrasonography, CT and MRI, and an effective outcome of treatment was obtained by oral administration of methylprednisolone. Four months after discharge, the patient received left subtotal thyroidectomy for thyroid papillary cancer. Seven months after surgery she visited again, due to ocular pain that started 1 week earlier in the left eye, as well as a headache, and was diagnosed with posterior scleritis upon fundus examination, ultrasonography and MRI. Methylprednisolone was administered orally and an effective treatment result was obtained. After discharge, the patient was followed up for 5 months and did not show any signs of recurrence.
References
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Figure 1.
Fundus Photograghy shows exudative retinal detachment, retinal hemorrhage, and whitish subretinal whitish lesion at 3 o'clock.
Figure 2.
(A) B-scan ultrasonogram shows scleral thickening and “T-sign” in the left eye. The squaring off of the normally rounded optic nerve shadow with extension of the edema along the back of the eye is called the “T-sign.” (B) Orbit CT shows lining pattern contrast enhancement of the sclera in the left eye. (C) Orbit MRI shows soft tissue density of the bulbar area and lining pattern contrast enhancement of the sclera in the left eye.
Figure 3.
(A) Exudative retinal detachment, retinal hemorrhage, and whitish subretinal lesion are decreased in the fundus photograph 7 days later. (B) Exudative retinal detachment, retinal hemorrhage, and whitish subretinal lesion are resolved in the fundus photograph 2 weeks later.
Figure 4.
Fundus photogragh shows serous retinal detachment and blurred margin at the optic disc. OCT images show edema of the optic disc.
Figure 5.
(A) B-scan ultrasonogram showed scleral thickening and “T-sign” in the right eye. (B) Orbit MRI shows soft tissue density of the bulbar area and lining pattern contrast enhancement of the sclera in the right eye.
Figure 6.
Fundus Photogragh shows degeneration that exudative retinal detachment resolved 11 months later.
Figure 7.
(A) Serous retinal detachment and blurr the margin at the optic disc is decreased in the fundus photograph 3 days later. OCT images shows that edema of the optic disc is decreased. (B) Serous retinal detachment and blurred margin at the optic disc the s resolved in the fundus photograph 2 months later. OCT images show that edema of the optic disc is resolved.
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