Benson W E, Shields J A, Tasman W, Crandall A S
Arch Ophthalmol. 1979 Aug;97(8):1482-6. doi: 10.1001/archopht.1979.01020020144012.
The referring diagnoses in seven women with posterior scleritis included intraocular neoplasm, retrobulbar tumor, choroiditis, and idiopathic central serous choroidopathy. In all cases, a localized area of intense posterior scleritis was responsible for the misdiagnosed ocular findings. Features that helped to correctly identify posterior scleritis were as follows: female sex; a history of anterior scleritis; a fundus mass the same color as normal adjacent pigment epithelium; choroidal folds; serous retinal detachment with cloudy fluid; early pinpoint leaking spots from fluorescein angiography; and thickening of the posterior coats of the eye, retrobulbar edema, and high internal reflectivity on ultrasonography. Corticosteroids given for retrobulbar or systemic effect provided effective treatment.
7例后巩膜炎女性患者的转诊诊断包括眼内肿瘤、球后肿瘤、脉络膜炎和特发性中心性浆液性脉络膜病变。在所有病例中，局部强烈的后巩膜炎是导致误诊眼部表现的原因。有助于正确识别后巩膜炎的特征如下：女性；有前巩膜炎病史；眼底肿物与相邻正常色素上皮颜色相同；脉络膜皱褶；伴有混浊液体的浆液性视网膜脱离；荧光素血管造影早期出现点状渗漏斑；眼后极部增厚、球后水肿以及超声检查显示高内部反射率。给予具有球后或全身作用的皮质类固醇可提供有效的治疗。
