A Case of Posterior Scleritis in Children with Ocular Pain and Visual Disturbance

Moon, Jung Hyun; Nam, Dong Heun; Lee, Dae Yeong

Case Report

Korean Journal of Optometry and Vision Science 2009;8(1):23-27.
Published online June 20, 2009.

안통 및 시력저하를 동반한 소아 후공막염의 치험 1예

문정현, 남동흔, 이대영

Department of Ophthalmology, Gachon University, Medicine and Science, Incheon, Korea

A Case of Posterior Scleritis in Children with Ocular Pain and Visual Disturbance

Jung Hyun Moon, Dong Heun Nam, Dae Yeong Lee

Abstract

Purpose
We report a case of posterior scleritis in children with ocular pain and visual disturbance. Methods: A 13-year-old female patient visited our clinic with ocular pain in her left eye, which started a week earlier. The best corrected visual acuity (BCVA) was 1.0 in the right eye and 0.8 in the left eye. We observed conjuctival injection, episcleral vein enlargement in the left eye and fluorescence leakage in the left optic disc. Therefore we suspected left optic neuritis and episcleritis. After high dose corticosteroid therapy, the symptoms were relieved. Two weeks later, left ocular pain recurred and BCVA was decreased to 0.2 in the left eye. Fundus examination showed macular striae, multiple yellowish spots and exdudative retinal detachment. Gross thickening of the posterior sclera and edema of Tenon's capsule were identified in the B-scan. Therefore we diagnosed left posterior scleritis. Results: After oral administrations of nonsteroidal anti-inflammatory drugs and corticosteroids, BCVA in the left eye improved to 1.0 and exudative retinal detachment was disappeared. Recurrent episode occurred once after 10 months later, but relieved with same regimens. Conclusions: We experienced a case of the posterior scleritis in children with exudative retinal detachment which treated effectively with oral administrations of nonsteroidal anti-inflammatory drugs and corticosteroids. (Korean J Optom Vis Sci 2009;8(1):23-27)

Key Words: Posterior scleritis, B-scan, Children