[Posterior scleritis: six case reports]. / Les sclérites postérieures: à propos de 6 cas.
J Fr Ophtalmol
; 26(8): 845-52, 2003 Oct.
Article
em Fr
| MEDLINE
| ID: mdl-14586229
ABSTRACT
PURPOSE:
To study the clinical features, management guidelines, and the course of the disease in six patients with posterior scleritis. SUBJECTS ANDMETHODS:
Six patients with posterior scleritis were enrolled in this retrospective study. All patients underwent a complete ophthalmic examination, fluorescein angiography, and B-scan ultrasonography. Systemic evaluation included physical examination and laboratory screening investigations. Medical management included systemic indomethacin (two cases), oral steroids (two cases), intravenous pulses of methylprednisolone followed by tapered oral steroids (two cases). One patient underwent immunosuppressive therapy (azathioprine) because of steroid dependence.RESULTS:
The main presenting symptoms were pain (six cases) and decreased vision (four cases). Chorioretinal changes included chorioretinal folds (six cases), retinal folds (five cases), optic disc edema (five cases), serous retinal detachment (two cases), and a subretinal mass (one case). Ultrasonography disclosed sclerochoroidal thickening in all cases and retrobulbar edema in three cases. Systemic evaluation was unremarkable in five cases and revealed Behçet's disease in one case. All patients showed a good response to medical treatment.CONCLUSION:
Posterior scleritis has protean 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 anti-inflammatory therapy.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Esclerite
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Idioma:
Fr
Revista:
J Fr Ophtalmol
Ano de publicação:
2003
Tipo de documento:
Article
País de afiliação:
Tunísia