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A case of posterior scleritis with remarkable scleral thickening Hitomi Koyama 1 , Takao Hirowatari 1 , Sakurako Takeda 1 , Takuya Niizuma 1 , Masao Matsubara 1 1Dept of Ophtalmol, Tokyo Women's Med Univ East Cent pp.1289-1293
Published Date 2007/7/15
DOI https://doi.org/10.11477/mf.1410101854
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Abstract. Purpose:To report a case of posterior scleritis with markedly thickened sclera. Case:A 66-year-old female presented with pain and hyperemia in her left eye. She had a history of chronic rheumatoid arthritis. Findings and Clinical Course:Her corrected visual acuity was 1.2 in either eye. The left eye showed huperemia in the conjunctiva and episclera. She was treated by topical corticosteroid. Severe serous retinal detachment developed 2 months later. Computed tomography showed thickening of sclera leading to the diagnosis of posterior scleritis. Systemic corticosteroid proved futile and was followed by vitreous hemorrhage and rubeosis iridis 3 years later. The left eye had to be enucleated due to pain another 18 months later. The eyeball showed thickening of sclera amounting to one-third of visual axis. The eye was diagnosed with chronic granulomatous inflammation. Conclusion:The thickening of sclera is interpreted as due to longstanding scleritis with repeated necrosis and regeneration of affected tissue.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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