Fungal scleritis with exudative retinal detachment.
OBJECTIVE
To report a case of fungal scleritis associated with exudative retinal detachment.


METHODS
A rare case report.


METHODS
Nonresolving fungal scleritis mimicking noninfective scleritis was treated with systemic and topical antifungals and low topical steroids after diagnosis was established on scleral scraping. Even after complete resolution of scleritis, exudative retinal detachment persisted.


RESULTS
The patient was advised of a possible need to undergo vitreo retinal surgery if exudative retinal detachment persisted for more than a month after complete resolution of the scleritis component.


CONCLUSIONS
Infective scleritis must be ruled out in cases of longstanding scleritis not responding to immunosuppressives.
Sawant
Swapnesh D
SD
Department of Uvea and Vitreo Retinal Services, Sankara Nethralaya, Chennai, India. dr_swapneshs@yahoo.com
Biswas
Jyotirmay
J
D000038:Abscess / Q000382:microbiology / Q000601:surgery; D000287:Administration, Topical; D000328:Adult; D000935:Antifungal Agents / Q000008:administration & dosage; D001228:Aspergillosis; D001231:Aspergillus flavus / Q000302:isolation & purification; D004322:Drainage; D005122:Exudates and Transudates / Q000378:metabolism*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012163:Retinal Detachment / Q000150:complications* / Q000378:metabolism*; D012590:Sclera / Q000382:microbiology; D015422:Scleral Diseases / Q000382:microbiology / Q000601:surgery; D015423:Scleritis / Q000150:complications* / Q000382:microbiology* / Q000473:pathology
D000935:Antifungal Agents