| Two Cases of Young Patients with Bilateral Posterior Scleritis Accompanied with Serous Retinal Detachment. |
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Chan Yang Jeon, Hyo Jeong Kang, Sung Jin Na, Tea Gon Lee |
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Department of Ophthalmology, Konyang University Hospital, Daejeon, Korea. idoc@kimeye.com |
| 양안의 장액망막박리를 동반한 뒤공막염 2예 |
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전찬양⋅강효정⋅나성진⋅이태곤 |
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Department of Ophthalmology, Konyang University Hospital, Daejeon, Korea |
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| Abstract |
PURPOSE
To report 2 young female patients with bilateral posterior scleritis and serous retinal detachment. CASE SUMMARY: An 11-year-old girl (Case 1) and a 16-year-old girl (Case 2) visited our clinic with bilateral ocular pain, redness, and blurred vision. Slit lamp examinations revealed severe bilateral scleral injection and mild anterior chamber reactions. Fundus examinations showed bilateral serous retinal detachments in the macular area. In both patients, diffuse multifocal leaking and pooling were found at the macula in the early and late phase fluorescein angiography, respectively. On the B-mode ultrasounds and orbital images (MRI or CT), scleral thickening with retention of subtenons fluid were found. There were no systemic diseases associated with the conditions. We diagnosed the patients with bilateral posterior scleritis and administered systemic steroids. After systemic steroid treatment, all of the symptoms were alleviated. Three months after the regression, bilateral posterior scleritis recurred in patient 2. Oral cyclosporine 100 mg was additionally prescribed in addition to the previous medications that she had taken during her first treatment. CONCLUSIONS: Two young patients diagnosed with posterior scleritis and serous retinal detachment was treated with systemic steroids. With proper examination and treatment, posterior scleritis can be treated with no complications. |
| Key Words:
Posterior scleritis;Serous retinal detachment;Systemic steroid treatment |
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