Localized episcleritis-like lesions on both eyes in a patient with para nasal sinusitis.
BACKGROUND
Some lesions on the ocular surface bear the danger of false diagnosis and, therefore, incorrect therapy.


METHODS
Our patient suffered from a therapy refractory episcleritis-like disease in both eyes. The conjunctiva and episclera in the temporal inferior quadrant were locally reddened but we could not make a clear diagnosis even after ultrasonic investigation.


METHODS
The patient was introduced to an ear, nose, and throat specialist and, by means of magnetic resonance techniques, acute sinusitis maxillaries on the right side was diagnosed but the smear remained sterile.


CONCLUSIONS
The red eyes were, therefore, manifestation of the sinusitis. He was treated systemically with penicillin and non-steroidal spray and the ocular lesions disappeared as a result of this therapy.
Yayan
Josef
J
Department of Ophthalmology, University Hospital for Ophthalmology and Optometry, Medical University of Innsbruck, Anichstrasse 35, Innsbruck, 6020, Austria. josefyayan@hotmail.com
Schretter-Irschick
Eveline
E
D000328:Adult; D000658:Amoxicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006801:Humans; D008279:Magnetic Resonance Imaging; D015523:Maxillary Sinusitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D009288:Naproxen / Q000627:therapeutic use; D015423:Scleritis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
D000900:Anti-Bacterial Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D009288:Naproxen; D000658:Amoxicillin