A young patient presents with a painful red eye. Why?
Analysis
In this OCT there is some intraretinal fluid located at the level of the outer nuclear layer. In this (and in junction between the outer plexiform layer) are a few small exudates. Henle’s fibers are also seen. Deep to the RPE there is thickening of the choroid and elevation of the sclera. This patient had a serous retinal detachment (RD) and T-sign on B-scan (video).
The patient was treated for posterior scleritis.
In this tip's accompanying 13 min. video, we'll review:
- The different types of scleritis
- The presentation of scleritis
- Systemic conditions associated with scleritis
OCT Tip
In any patient with deep retinal fluid, especially in the setting of a red painful eye, consider the possibility of posterior scleritis.
Not receiving our tips yet? Subscribe to receive them straight to your inbox.
