Department of Ophthalmology, College of Medicine, Gyeongsang National University, Gangnam-ro 79, Gyeongnam, Jinju, South Korea.
Department of Ophthalmology, Gyeongsang National University Hospital, Gangnam-ro 79, Gyeongnam, Jinju, South Korea.
BMC Ophthalmol. 2022 Jul 26;22(1):321. doi: 10.1186/s12886-022-02537-1.
Posterior scleritis is a rare, inflammatory ophthalmic disease, leading to severe visual impairment if untreated. Posterior scleritis occurring after surgery, unrelated to systemic inflammatory diseases, is even rarer. This report discusses a case of bilateral posterior scleritis, after cataract surgery in both the eyes, treated with high-dose steroids.
A 55-year-old man, who had undergone bilateral sequential cataract surgery one week before, presented with sudden loss of vision and ocular pain in both eyes. The patient had no systemic diseases or neurological symptoms. Serous retinal detachment of the macula with optic disc swelling was observed on fundus examination in both the eyes, and bilateral thickening of choroid and sclera was seen in ultrasonography. Under diagnosis of bilateral posterior scleritis due to the increased signal of sclera in both the eyes on magnetic resonance imaging, high-dose steroid therapy was performed. After treatment, improvement in visual acuity and retinal detachment were observed, and thereafter, it has been maintained without relapse.
With high-dose steroid therapy, we successfully treated a rare case of bilateral posterior scleritis following cataract surgery in both eyes. To our knowledge, this is the first report on posterior scleritis occurring after surgery, unrelated to systemic inflammatory diseases.
后巩膜炎是一种罕见的眼部炎症性疾病，如果不治疗，可能导致严重的视力损害。手术后发生的、与系统性炎症性疾病无关的后巩膜炎更为罕见。本报告讨论了一例双侧后巩膜炎病例，该患者在双眼白内障手术后出现，采用大剂量类固醇治疗。
一名 55 岁男性，一周前接受了双眼序贯白内障手术，出现双眼视力突然丧失和眼部疼痛。患者无系统性疾病或神经系统症状。眼底检查发现双眼黄斑部浆液性视网膜脱离伴视盘肿胀，超声检查显示双眼脉络膜和巩膜增厚。双眼巩膜信号增强，磁共振成像诊断为双侧后巩膜炎，给予大剂量类固醇治疗。治疗后视力和视网膜脱离均有改善，此后未再复发。
我们采用大剂量类固醇治疗成功治疗了一例罕见的双眼白内障手术后双侧后巩膜炎病例。据我们所知，这是首例与系统性炎症性疾病无关的手术后发生的后巩膜炎病例报告。
