Rim Kahloun*, Bechir Jelliti, Imen Kaibi, Sonia Zaouali, Salim Ben Yahia, Moncef Khairallah (Monastir, Tunisia)

Advantages:

To study the clinical features, management guidelines, and the course of the disease in patients with posterior scleritis.

Methods:

Retrospective chart review of 10 patients diagnosed with posterior scleritis.

Effectiveness / Safety:

The main presenting symptoms were pain (10 cases) and decreased vision (6 cases). Chorioretinal changes included chorioretinal folds (8 cases), retinal folds (5 cases), optic disc edema (7 cases), serous retinal detachment (6 cases), and a subretinal mass (one case). Ultrasonography disclosed sclerochoroidal thickening in all cases and retrobulbar edema in five cases. Systemic evaluation was unremarkable in nine cases and revealed Beh├žet’s disease in one case. Two patients were treated with oral indomethacin and 8 patients with oral corticosteroids. One patient was additionally treated with azathioprin because of corticodependance. All patients showed a good response to medical treatment.

Take home message:

Posterior scleritis has variable manifestations and can be easily overlooked. This diagnosis must be considered in all inflammatory and painful ocular disorders with no obvious etiology. B-scan ultrasonography is the most useful diagnostic tool in such patients. The disease usually shows a good response to systemic indomethacin.