A case of anterior scleritis in association with posterior scleritis – a diagnostic riddle

Aditi G Dastidar, Sugandha Goel, D. Kundu, J. Biswas, E. Nigam, Preeti Sharma
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Abstract

We herein report a case of a young female presenting with multiple nodular scleral abscesses mimicking infective scleritis with exudative retinal detachment. Repeated diagnostic scraping for microbiological and histopathological analysis was inconclusive. The patient’s systemic and collagen disease work-up was non-contributory. She was treated with multiple surgical debridement and de-roofing of the abscesses along with antibiotic irrigation. Topical and oral steroid was stopped on worsening of the condition, and the patient was maintained on topical and oral antibiotics. Complete resolution of scleritis and exudative detachment was noted at 1 month follow-up and no recurrence was noted until 6 months.
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前巩膜炎合并后巩膜炎1例-一个诊断难题
我们在此报告一个年轻女性的情况下,表现为多发性结节性巩膜脓肿模拟感染性巩膜炎和渗出性视网膜脱离。反复刮痧进行微生物学和组织病理学分析尚无定论。患者的全身和胶原蛋白疾病检查无贡献。她接受了多次手术清创和去顶脓肿以及抗生素冲洗。病情恶化时停用局部和口服类固醇,患者继续使用局部和口服抗生素。随访1个月,巩膜炎和渗出性脱离完全消失,6个月无复发。
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