Report of clinical case of posterior scleritis Rubio

Report of clinical case of posterior scleritis Rubio Álvarez N, Castaño Martín B, Gorroño Echebarría MB, Martínez MJ. Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid. CLINICAL CASE 20 y woman with right red and painful eye and visual change after ten days of progression. Ø Visual acuity: 1 both eyes Ø BMC: dilated scleral vessels without whitening after fenilefrine and no Tyndall Ø Funduscopy: nasal optic disc edema, vascular tortuosity, macular star iniciation without vitritis or vasculitis

RESULTS Ø B-scan ultrasonography: T-sign Ø Angiography: macular folds. optic disc edema and

RESULTS Ø Macular OCT: macular folds and thickening associated to two neurosensorial detachment. Ø Optic nerve OCT: Optic disc edema. DIAGNOSIS: posterior scleritis TREATMENT: prednisone 60 mg

EVOLUTION ØFollowed by Rheumatology and Ophthalmology, Orbitary TC, orbitary RMN with and without contrast, thorax Rx: normal o Serology and antibody studies: negative ØTen days after the event, macular OCT is normal, so the corticosteroid dose was gradually tapered off during three months. o ØNEW EVENT a month after finishing therapy: prednisone 60 mg, methotrexate, folic acid, vitamin D and calcium. 457µm

EVOLUTION ØCurrently, after five months with therapy, she persists asymptomatic with normal OCT and B-scan.