Department of Ophthalmology, Huashan Hospital of Fudan University, No. 12, Middle Urumqi Road, Shanghai, 200040, China.
BMC Ophthalmol. 2020 Jul 2;20(1):262. doi: 10.1186/s12886-020-01529-3.
Posterior scleritis is an uncommon vision-threatening disorder that is often recurrent and difficult to cure due to its complex etiology. In HIV patients, posterior scleritis may develop several months after significant rise in CD4+ T-lymphocyte, even after several years, which may be diagnosed as late-onset immune recovery scleritis.
Here we report a case of posterior scleritis in a HIV positive patient who presented with severe periocular pain and decreased vision in the left eye, with exudative retinal detachment and optic nerve involvement.
Early differential diagnosis of immune recovery posterior scleritis and intensive corticosteroids treatment, can prevent vision loss effectively in HIV patients.
后巩膜炎是一种罕见的威胁视力的疾病，由于其复杂的病因，常反复发作，难以治愈。在 HIV 患者中，后巩膜炎可在 CD4+T 淋巴细胞显著升高后数月，甚至数年后发生，可能被诊断为迟发性免疫重建后巩膜炎。
我们在此报告一例 HIV 阳性患者的后巩膜炎病例，该患者左眼出现严重的眶周疼痛和视力下降，伴有渗出性视网膜脱离和视神经受累。
早期对免疫重建后巩膜炎进行鉴别诊断并进行强化皮质类固醇治疗，可以有效预防 HIV 患者的视力丧失。
