title: Posterior scleritis presenting as conjunctivitis in a child.
abstract: A 14-year-old male child presented with redness and decreased vision in the right eye for 7 days. He was being treated for viral conjunctivitis for right eye at a local hospital. His visual acuity was 6/24 OD and 6/9 OS. Slit-lamp examination revealed diffuse conjunctival congestion in the right eye. Dilated fundus examination revealed mild disc hyperaemia and retinal striae in both the eyes. A peripapillary serous detachment of macula in the right eye was seen on optical coherence tomography. B scan ultrasonography revealed increased scleral thickening and characteristic 'T' sign in both the eyes. Investigations revealed no other relevant systemic association. A diagnosis of bilateral posterior scleritis was made. The patient was started on topical steroids and oral non-steroidal anti-inflammatory drugs. Within 2 weeks of therapy the visual acuity improved to 6/6, the serous detachment resolved and retinal striae reduced in both the eyes.
authors.affiliation: All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, Odisha, India.
authors.forename: Jyotiranjan
authors.initials: J
authors.lastname: Mallick
authors.affiliation: All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, Odisha, India.
authors.forename: Susant
authors.initials: S
authors.lastname: Pujahari
authors.affiliation: Department of Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, Odisha, India.
authors.forename: Prafulla Kumar
authors.initials: PK
authors.lastname: Maharana
mesh_terms: D000293:Adolescent; D003231:Conjunctivitis / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D015423:Scleritis / Q000150:complications / Q000175:diagnosis*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity