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Letter to the Editor
Acute retinal necrosis presenting with scleritis and raised intraocular pressure
  1. ANDREW RAMSAY
  1. Moorfields Eye Hospital, City Road
  2. London EC1V 2PD, UK
  3. Proctor Foundation, 95 Kirkham Street
  4. San Francisco, CA 94122, USA
  5. Moorfields Eye Hospital, City Road
  6. London EC1V 2PD, UK
  1. EMMETT CUNNINGHAM
  1. Moorfields Eye Hospital, City Road
  2. London EC1V 2PD, UK
  3. Proctor Foundation, 95 Kirkham Street
  4. San Francisco, CA 94122, USA
  5. Moorfields Eye Hospital, City Road
  6. London EC1V 2PD, UK
  1. CARLOS PAVESIO
  1. Moorfields Eye Hospital, City Road
  2. London EC1V 2PD, UK
  3. Proctor Foundation, 95 Kirkham Street
  4. San Francisco, CA 94122, USA
  5. Moorfields Eye Hospital, City Road
  6. London EC1V 2PD, UK
  1. Mr Andrew Ramsay

https://doi.org/10.1136/bjo.84.10.1203h

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    Editor,—Acute retinal necrosis (ARN) is a necrotising herpetic retinopathy (NHR), which commonly presents as a painless, rapidly advancing retinitis. We report a patient with ARN who was initially diagnosed with anterior scleritis.

    CASE REPORT

    A 50 year old woman presented to the casualty department with a 3 day history of intense pain and tenderness in her right eye. She was fit and well with no notable past ocular or medical history. The right eye had 6/12+2 Snellen visual acuity and normal Ishihara colour vision with no relative afferent pupillary defect. The intense hyperaemia did not blanch with 10% phenylephrine and demonstrated scleral oedema with red-free light. The intraocular pressure on the right was raised at 30 mm Hg. The left eye was normal, …

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