Subretinal Mass as a Presenting Sign of Posterior Scleritis: A Case Report

We report a case of an unusual clinical presentation of posterior scleritis. A 40-year-old woman suffered from sudden blurred vision in her left eye for 1 day. She had no systemic or autoimmune diseases. Fundus examination revealed a subretinal mass (10.5 × 6 mm in basal diameter) in the nasal-super...

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Main Authors: Jia-Kang Wang, Pei-Ching Lai
Format: Article
Language:English
Published: Wiley 2003-10-01
Series:Kaohsiung Journal of Medical Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1607551X09705017
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author Jia-Kang Wang
Pei-Ching Lai
author_facet Jia-Kang Wang
Pei-Ching Lai
author_sort Jia-Kang Wang
collection DOAJ
description We report a case of an unusual clinical presentation of posterior scleritis. A 40-year-old woman suffered from sudden blurred vision in her left eye for 1 day. She had no systemic or autoimmune diseases. Fundus examination revealed a subretinal mass (10.5 × 6 mm in basal diameter) in the nasal-superior quadrant extending from the optic disc to the periphery. Overlying retinal striae were obvious. Optic disc hyperemia and mild edema were noted. Fluorescein angiography did not show dye leakage or tumor-feeding vessels. Ultrasonography showed high internal reflectivity of the subretinal mass and thickened sclera with T-sign. Under the impression of posterior scleritis, corticosteroids and nonsteroidal anti-inflammatory drugs were given orally and topically. After 4 weeks, the subretinal mass disappeared without any sequelae. The patient recovered full vision. This case suggests that posterior scleritis is among the differential diagnoses for a fundus mass. There has been no other similar report in Taiwan.
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spelling doaj.art-ae146e34e27b4701bf2312e668f6f5522022-12-22T02:16:45ZengWileyKaohsiung Journal of Medical Sciences1607-551X2003-10-01191052252410.1016/S1607-551X(09)70501-7Subretinal Mass as a Presenting Sign of Posterior Scleritis: A Case ReportJia-Kang WangPei-Ching LaiWe report a case of an unusual clinical presentation of posterior scleritis. A 40-year-old woman suffered from sudden blurred vision in her left eye for 1 day. She had no systemic or autoimmune diseases. Fundus examination revealed a subretinal mass (10.5 × 6 mm in basal diameter) in the nasal-superior quadrant extending from the optic disc to the periphery. Overlying retinal striae were obvious. Optic disc hyperemia and mild edema were noted. Fluorescein angiography did not show dye leakage or tumor-feeding vessels. Ultrasonography showed high internal reflectivity of the subretinal mass and thickened sclera with T-sign. Under the impression of posterior scleritis, corticosteroids and nonsteroidal anti-inflammatory drugs were given orally and topically. After 4 weeks, the subretinal mass disappeared without any sequelae. The patient recovered full vision. This case suggests that posterior scleritis is among the differential diagnoses for a fundus mass. There has been no other similar report in Taiwan.http://www.sciencedirect.com/science/article/pii/S1607551X09705017posterior scleritissubretinal masschoroidal tumor
spellingShingle Jia-Kang Wang
Pei-Ching Lai
Subretinal Mass as a Presenting Sign of Posterior Scleritis: A Case Report
Kaohsiung Journal of Medical Sciences
posterior scleritis
subretinal mass
choroidal tumor
title Subretinal Mass as a Presenting Sign of Posterior Scleritis: A Case Report
title_full Subretinal Mass as a Presenting Sign of Posterior Scleritis: A Case Report
title_fullStr Subretinal Mass as a Presenting Sign of Posterior Scleritis: A Case Report
title_full_unstemmed Subretinal Mass as a Presenting Sign of Posterior Scleritis: A Case Report
title_short Subretinal Mass as a Presenting Sign of Posterior Scleritis: A Case Report
title_sort subretinal mass as a presenting sign of posterior scleritis a case report
topic posterior scleritis
subretinal mass
choroidal tumor
url http://www.sciencedirect.com/science/article/pii/S1607551X09705017
work_keys_str_mv AT jiakangwang subretinalmassasapresentingsignofposteriorscleritisacasereport
AT peichinglai subretinalmassasapresentingsignofposteriorscleritisacasereport