Abstract

Purpose:To analyse clinical profile of patients with posterior scleritis(PS) masquerading as unilateral angle closure.This retrospective study included 18 patients of PS among which 8 patients were identified with unilateral angle closure.
Results:All 8 patients on evaluation were found to have posterior scleritis.Presenting symptoms were pain (8 eyes), redness(4eyes), decreased vision(3eyes). Shallow anterior chamber of Van Hericks grading 1 (5eyes) grade 0(3eyes). High IOP noted in 2 eyes. Associated anterior scleritis seen in 4. Fundus changes included disc hyperaemia& edema,retinal striae,choroidal folds,exudative retinal detachment,sub retinal mass,choroidal detachment.
Conclusion:PS is relatively uncommon & often misdiagnosed due to its protean manifestations.All 8 patients were referred for unilateral angle closure management.Normal fellow eye , presence of pain & anterior scleritis, presence of disc changes (if seen in undilated fundus) may give clue to differential diagnosis.