Optical coherence tomography findings in a child with posterior scleritis

PURPOSE. To present the findings of optical coherence tomography (OCT) in a child with posterior scleritis. METHODS. A 13-year-old boy was admitted to our clinic with symptoms of low degree of vision and ocular pain. Ophthalmologic examination, ocular ultrasonography, magnetic resonance imaging, fundus fluorescein angiography (FFA), and OCT investigations were carried out and the results were evaluated. RESULTS. Visual acuity was 10/10 in the right eye, and finger counting at 1 meter in the left eye. Anterior segments and vitreous were normal in both eyes. Fundus examination revealed the edema on the macula and the normal disc margins on the left eye, while the right eye was normal. The FFA revealed the leakage on the macula. Posterior scleral thickening, choroidal effusion, and serous retinal detachment were determined in ocular ultrasonography, suggesting posterior scleritis. There were interesting cystic forms underneath the retina and serous macular detachment (SMD) in the first OCT examination. The patient was treated with oral prednisolone for 10 days and then with oral indomethacin for 20 days. Following the systemic treatment the visual acuity of the left eye improved, subjective signs disappeared, and the OCT manifestations returned to normal. CONCLUSIONS. In this case report, OCT provided new information about the retinochoroidal structure in posterior scleritis. These findings may be helpful for the diagnosis of this rare condition, but further studies are needed. (Eur J Ophthalmol 2008; 18: 1007-10)