Litwak A B
Eye Clinic, Veterans Administration Medical Center, Baltimore/Fort Howard, MD 21052.
J Am Optom Assoc. 1989 Apr;60(4):300-6.
Posterior scleritis is a granulomatous inflammation occurring either within the scleral tissue or in the vascular networks adjacent to it. This inflammatory process can cause leakage of fluid from the choroid into the suprachoroidal space leading to ciliochoroidal effusion and an exudative retinal detachment. The following is a case report of a 64 year old white male, who presented with an acute angle closure attack and myopic shift in one eye, and later developed an exudative choroidal and retinal detachment. Posterior scleritis was diagnosed based on ultrasonography and the orbital CT scan findings. The acute angle closure attack, myopic shift and exudative detachments completely resolved with the use of oral steroids and cycloplegics.
后巩膜炎是一种发生于巩膜组织内或其相邻血管网络的肉芽肿性炎症。这种炎症过程可导致液体从脉络膜渗漏至脉络膜上腔，进而引起睫状脉络膜积液和渗出性视网膜脱离。以下是一例64岁白人男性的病例报告，该患者最初表现为一只眼睛急性闭角型青光眼发作和近视性移位，随后发展为渗出性脉络膜和视网膜脱离。根据超声检查和眼眶CT扫描结果诊断为后巩膜炎。使用口服类固醇和睫状肌麻痹剂后，急性闭角型青光眼发作、近视性移位和渗出性脱离完全缓解。
