Abstract

Purpose-Posterior scleritis is a rare inflammatory ophthalmic disease. We report a case of idiopathic posterior scleritis, with pain and congestion in both eyes.
Method-A 67year old man presented at OPD with eye-pain and redness bilaterally for 1 week. Initially he was diagnosed with acute conjunctivitis elsewhere. Upon week-long continuation of the symptoms despite treatment, he came to our OPD. Examination revealed bilaterally congested eyes and vision reduction to 6/36 in right eye. Dilated fundoscopy showed multiple folds in the retina.
Result-OCT, USG B-Scan, and fundus photography confirmed diagnosis of posterior scleritis. The patient was started on oral methylprednisolone. Various investigations were done but no cause was found. At Follow-Up for 1 month, patient’s symptoms resolved drastically and vision improved to 6/18.
Conclusion-Methylprednisolone is the mainstay treatment in Posterior Scleritis. Posterior Scleritis is frequently misdiagnosed at presentation.