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Br J Ophthalmol 2007;91:1582 doi:10.1136/bjo.2007.129452
  • Education

Ciliary body metastasis masquerading as scleritis

  1. Brian J Lee1,
  2. Careen Y Lowder1,
  3. Charles Biscotti2,
  4. Lynn Schoenfield2,
  5. Arun D Singh3
  1. 1
    Cole Eye Institute, Cleveland Clinic, Cleveland, OH, USA
  2. 2
    Department of Pathology and Laboratory Medicine, Cleveland Clinic, Cleveland, OH, USA
  3. 3
    Cole Eye Institute, Cleveland Clinic, Cleveland, OH, USA
  1. Arun D Singh, MD, Department of Ophthalmic Oncology, Cole Eye Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA; singha{at}ccf.org

    CLINICAL PRESENTATION

    A 54-year-old Caucasian male presented to the Cole Eye Institute for a second opinion regarding a diagnosis of iritis. He described 4 months of ongoing redness, pain and photophobia in the right eye. Initially, he was treated with topical prednisolone acetate 1% without improvement. Subsequently, homatropine 5% and combined neomycin, polymixin B and dexamethasone drops were prescribed without any relief. For a month prior to presentation, he had been off all medications and his symptoms had gradually worsened.

    He denied any past ocular history …

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