Posterior scleritis in a case of relapsing polychondritis Machiko Tanimura 1 , Katsuhiko Yokoyama 1 , Hiromi Abe 1 , Kenichi Kimoto 1 , Masamoto Imaizumi 1 , Kazuo Nakatsuka 1 1Dept of Ophthalmol, Oita Univ Fac of Med pp.1299-1303
Published Date 2007/7/15
DOI https://doi.org/10.11477/mf.1410101856
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Abstract. Purpose:To report a case of relapsing polychondritis with posterior scleritis as a late complication. Case:A 73-year-old female presented with acute visual impairment in her right eye and pain during eye movement. She had had bilateral auricular chondritis and been diagnosed with polychondritis 5 years before. She had been receiving prednisolone and immunosuppressant ever since. She had developed recurrent episcleritis 3 years before. Her visual acuity was 0.3 right and 1.2 left. The right eye showed signs of iridocyclitis, serous retinal detachment, and choroidal folds. Diagnostic imaging showed thickening of posterior sclera and optic perineuritis. Under the diagnosis of posterior scleritis, she was treated with increased doses of prednisolone. Intraocular findings improved on day 5 of treatment. There has been no recurrence during 10 months until present. Conclusion:This case illustrates that posterior scleritis may develop as a late complication of relapsing polychondritis.

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