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posterior scleritis

C Tappeiner, K Walscheid, A Heiligenhaus
Episcleritis is a benign and self-limiting disease, often with a recurrent course, manifesting mainly in young adults. In less than a third of patients, an associated systemic disease can be found. In contrast, scleritis is observed mainly in patients between the 4th and 6th decade of life, may lead to severe ocular complications, and is often associated with a systemic rheumatological disease. Diffuse, nodular, and necrotizing forms of scleritis can be differentiated. Necrotizing and posterior scleritis have a higher risk of complications and worse visual outcome...
September 2016: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
Ali Alim-Marvasti, Jason Ho, Mark Weatherall, Maneesh Patel, Sheena George, Stuart Viegas
A 40-year-old woman presented with a side-locked headache with autonomic features, which then switched sides before reverting to the original side. The atypical features of side swapping, partial response to indometacin and abnormal optic disc appearances ultimately led to a diagnosis of recurrent posterior scleritis. We discuss the differential diagnosis of trigeminal autonomic cephalgias and its secondary causes, and provide practical pointers for its investigation and management.
August 5, 2016: Practical Neurology
Melina I Morkin, Lana M Rifkin, Sabin Dang, Caroline R Baumal
PURPOSE: To report a case of tarantula hair-induced panuveitis treated with sustained-release intravitreal dexamethasone implant and followed by sequential spectral domain optical coherence tomography imaging. METHODS: Findings on clinical examination, anterior segment optical coherence tomography, corneal in vivo confocal microscopy, color fundus photos, fluorescein angiography, and retinal spectral domain optical coherence tomography are presented. Sequential optical coherence tomography images demonstrated the course of the chorioretinal lesions before and after sustained-release intravitreal dexamethasone implant...
July 28, 2016: Retinal Cases & Brief Reports
M C Diogo, M J Jager, T A Ferreira
Scleritis is a rare, underdiagnosed vision-threatening condition that can occur isolated or in association with other orbital abnormalities. The etiology of scleritis is mainly inflammatory noninfectious, either idiopathic or in the context of systemic disease. Ultrasonography remains the criterion standard in diagnostic imaging of this condition but might prove insufficient, and studies on the diagnostic value of CT and MR imaging are lacking. We retrospectively analyzed 11 cases of scleritis in which CT and/or MR imaging were performed during the active phase of disease and assessed the diagnostic utility of these techniques...
July 21, 2016: AJNR. American Journal of Neuroradiology
Kessara Pathanapitoon, Emilio M Dodds, Emmett T Cunningham, Aniki Rothova
Human leukocyte antigen (HLA)-B27-associated anterior uveitis (AU) is the most commonly diagnosed form of AU and represents the largest entity of non-infectious uveitis around the world. The most typical ocular manifestation associated with HLA-B27 consists of unilateral AU of acute onset. The HLA-B27-associated acute AU represents a distinct clinical entity occurring typically in young adults between the ages of 20 and 40 years. HLA-B27-associated acute AU is typically unilateral and lasts usually several weeks and diminishes within 3 months in the majority of patients...
July 18, 2016: Ocular Immunology and Inflammation
Ana Filipa Miranda, João Cardoso, Nadine Marques, Sandra Barros, Paula Telles, Nuno Campos
Ocular tuberculosis (TB) is considered to be rare, although its incidence has varied widely over time and in different populations. Latent TB is diagnosed when a person is infected with Mycobacterium tuberculosis but does not have active TB. During the last decade, interferon-gamma release assay tests have been developed that allow identification of patients with latent TB infection with better specificity than the tuberculin skin test and can differentiate between infection and prior vaccination. Although rare, tuberculous scleritis should be considered in the differential diagnosis of posterior scleritis...
April 2016: Arquivos Brasileiros de Oftalmologia
Rajeev Reddy Pappuru, Vivek Pravin Dave
We report an unusual presentation of ocular tuberculosis with subretinal abscess with associated posterior scleritis. This is a first-of-its-kind report of such an association. A 26-year-old female presented to us with complaints of redness, pain, and decreased vision in her left eye since 1 week. On examination, the vision in her right eye was 6/6 and in the left eye was 1/60. Detailed ocular evaluation revealed exudative retinal detachment, subretinal abscess, and disk edema. Ocular and systemic investigations were consistent with presumed tubercular etiology and posterior scleritis...
May 18, 2016: International Ophthalmology
Anu Manandhar
PURPOSE: To analyze the patterns of uveitis and scleritis at the tertiary referral center in Nepal. METHODS: A retrospective review of uveitis and scleritis cases at Tilganga Institute of Ophthalmology in 2014. RESULTS: A total of 1113 uveitis, 73 scleritis, 35 sclerouveitis cases were reviewed. Anterior uveitis (590, 53%) was most common, followed by panuveitis (20%), intermediate uveitis (14%), then posterior uvietis (12.9%). The most common causes of anterior, pan, and posterior uveitis were herpetic disease (15...
May 18, 2016: Ocular Immunology and Inflammation
Victoria Bîrluţiu, Elena Cristina Rezi, Rares Mircea Bîrluţiu, Ioan Sorin Zaharie
BACKGROUND: Wegener's granulomatosis is a systemic vasculitis of the small- and medium-sized vessels, produced by the action of ANCA, which involves the respiratory tract, kidneys, and eyes, with a potential for lethal evolution in the first year after diagnosis. Its association with chronic lymphocytic leukemia is rarely described in the literature, and it may be difficult to diagnose and to treat this association. CASE PRESENTATION: We present the case of a 73-year-old Caucasian patient, a rare case in which Wegener's granulomatosis is associated in a patient with chronic lymphocytic leukemia, who is admitted in the Infectious Disease Department for fever, diplopia, headache, purulent and hemorrhagic nasal secretions, intense asthenia, and weight loss...
2016: World Journal of Surgical Oncology
Xi Yao Liu, Xiao Yan Peng, Shuang Wang, Qi Sheng You, Yi-Bin Li, Yuan Yuan Xiao, Jost B Jonas
BACKGROUND/PURPOSE: To examine the diagnostic value of optical coherence tomography (OCT) for the detection of acute Vogt-Koyanagi-Harada (VKH) disease. METHODS: Clinical charts and OCT images were retrospectively reviewed for patients consecutively diagnosed with acute VKH, subacute VKH, multifocal central serous chorioretinopathy (CSCR), and posterior scleritis. All patients underwent OCT, fundus photography, and fluorescein angiography (FA) before treatment. The characteristics of OCT and FA were analyzed and recorded...
May 3, 2016: Retina
Radha Shenoy, Milind Suryawanshi, Roshini Isaac, Santhosh K Philip
Posterior scleritis is rare in both the adult and pediatric age groups. Increased awareness and availability of advanced diagnostic facilities aid in early diagnosis and management. Visual recovery is possible with systemic steroids and immunosuppression. We report the case of a 12-year-old male child who presented with poor vision in his right eye and was found to have retinal striae and disc edema due to posterior scleritis.
January 2016: Oman Journal of Ophthalmology
Andrea T Liu, Fiona O Luk, Carmen K Chan
To report a case of giant nodular posterior scleritis mimicking a choroidal tumor. A 42-year-old lady with systemic hypertension presented with a 1-week history of unilateral visual loss, pain and redness in her left eye. Examination showed sectoral anterior episcleritis in her left eye as well as a dome-shaped choroidal mass at the inferior-temporal periphery, associated with retinal hemorrhages and subretinal fluid. Systemic evaluation and imaging of the choroidal mass were performed and could not rule out amelanotic choroidal melanoma...
December 2015: Indian Journal of Ophthalmology
Faisal R Ali, Helen S Young
No abstract text is available yet for this article.
2016: Ocular Immunology and Inflammation
Pui Yee Sin, David Ta Li Liu, Alvin L Young
PURPOSE: Posterior scleritis is a potentially blinding ocular disorder that is often difficult to diagnose because of the low incidence and varied clinical presentation. Nodular posterior scleritis can mimic a choroidal mass and pose diagnostic difficulties to clinicians. This case report and literature review aimed to evaluate the clinical presentation of nodular posterior scleritis that mimics choroidal tumor, along with the etiologies, treatment modalities, and outcomes. DESIGN: Case report and literature review...
September 2016: Asia-Pacific Journal of Ophthalmology
Mohammad Al Barqi, Ashley Behrens, Abdullah M Alfawaz
AIM: To describe the clinical features, systemic associations, treatment and visual outcomes in Saudi patients with scleritis. METHODS: A retrospective chart review was performed for patients with scleritis presenting to two tertiary care eye hospitals in Riyadh, Saudi Arabia, from 2001 to 2011. Data were collected on the clinical features of scleritis, subtypes of scleritis, associated systemic disease, history of previous ocular surgery and medical therapy, including the use of immunosuppressants...
2015: International Journal of Ophthalmology
Rasanamar K Sandhu, Tony Adams, Cailin Sibley, Eric B Suhler, Donna H Kim
PURPOSE: To report a case of frosted branch angiitis in a patient with granulomatosis with polyangiitis. METHODS: Clinical case report. Imaging was obtained with pseudo-color scanning laser ophthalmoscope photographs, fluorescein angiography, spectral domain optical coherence tomography, and B-scan ultrasound. RESULTS: A 24-year-old woman with a clinical history of granulomatosis with polyangiitis who presented with acute vision loss was found to have frosted branch angiitis with concurrent posterior scleritis and orbital inflammation...
2016: Retinal Cases & Brief Reports
Claudia Recillas-Gispert, Juan Carlos Serna-Ojeda, Luis Felipe Flores-Suárez
PURPOSE: The purpose of this descriptive study was to evaluate the clinical response to rituximab (RTX) in patients with scleritis due to granulomatosis with polyangiitis (GPA), in patients who had proved refractory to treatment with systemic glucocorticoids and immunosuppressive agents. METHODS: Retrospective analysis of interventional case series. Single referral center study. Eight patients (12 affected eyes) due to scleritis secondary to GPA, refractory to conventional treatment were included to receive RTX as therapy for remission induction...
December 2015: Graefe's Archive for Clinical and Experimental Ophthalmology
Elena Generali, Luca Cantarini, Carlo Selmi
Eye involvement represents a common finding in patients with systemic autoimmune diseases, particularly rheumatoid arthritis, Sjogren syndrome, seronegative spondyloarthropathy, and antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis. The eye is a privileged immune site but commensal bacteria are found on the ocular surface. The eye injury may be inflammatory, vascular or infectious, as well as iatrogenic, as in the case of hydroxychloroquine, chloroquine, corticosteroids, and bisphosphonates. Manifestations may affect different components of the eye, with episcleritis involving the episclera, a thin layer of tissue covering the sclera; scleritis being an inflammation of the sclera potentially leading to blindness; keratitis, referring to corneal inflammation frequently associated with scleritis; and uveitis as the inflammation of the uvea, including the iris, ciliary body, and choroid, subdivided into anterior, posterior, or panuveitis...
December 2015: Clinical Reviews in Allergy & Immunology
Julio J González-López, Alenka Lavric, Parthopratim Dutta Majumder, Nishat Bansal, Jyotirmay Biswas, Carlos Pavesio, Rupesh Agrawal
PURPOSE: To describe the clinical and epidemiological characteristics of patients and analyze factors associated with bilateral posterior scleritis. METHODS: In this retrospective cohort study, records of patients with diagnosis of bilateral posterior scleritis at two tertiary-care centers in the UK and India were analyzed in comparison with the clinical profile of patients with unilateral scleritis. RESULTS: In total, 18 patients with bilateral posterior scleritis were identified and compared with 96 patients of unilateral posterior scleritis; 14 (77%) were women and the median age was 48 years...
2016: Ocular Immunology and Inflammation
Su Young Moon, Won Tae Yoon, Sung Pyo Park
No abstract text is available yet for this article.
October 2015: Korean Journal of Ophthalmology: KJO
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