Posterior scleritis with annular ciliochoroidal detachment

Am J Ophthalmol. 1995 Nov;120(5):677-9. doi: 10.1016/s0002-9394(14)72220-2.

Abstract

Purpose: We studied an unusual case of posterior scleritis in a patient with sarcoidosis.

Method: The medical record was reviewed for clinical manifestation, course, and tests performed, including laboratory evaluations, fluorescein angiography, and ultrasonography.

Results: The patient had posterior scleritis and unilateral angle-closure glaucoma caused by an annular ciliochoroidal detachment. Sarcoidosis was confirmed by biopsy of an enlarged parotid gland.

Conclusion: The mechanism of angle-closure glaucoma may not be clinically or echographically apparent for a week or more in patients who develop annular ciliochoroidal detachment. We also found an unusual association of sarcoidosis and annular ciliochoroidal detachment secondary to posterior scleritis.

Publication types

  • Case Reports

MeSH terms

  • Adrenergic beta-Antagonists / therapeutic use
  • Adult
  • Anti-Inflammatory Agents / therapeutic use
  • Biopsy
  • Choroid Diseases / diagnostic imaging
  • Choroid Diseases / drug therapy
  • Choroid Diseases / etiology*
  • Ciliary Body / drug effects
  • Ciliary Body / pathology*
  • Eye Diseases / complications*
  • Eye Diseases / drug therapy
  • Glaucoma, Angle-Closure / drug therapy
  • Glaucoma, Angle-Closure / etiology
  • Humans
  • Intraocular Pressure
  • Male
  • Muscarinic Agonists / therapeutic use
  • Parotid Gland / pathology
  • Pilocarpine / therapeutic use
  • Prednisone / therapeutic use
  • Sarcoidosis / complications*
  • Sarcoidosis / drug therapy
  • Scleritis / drug therapy
  • Scleritis / etiology*
  • Timolol / therapeutic use
  • Ultrasonography
  • Uveal Diseases / drug therapy
  • Uveal Diseases / etiology

Substances

  • Adrenergic beta-Antagonists
  • Anti-Inflammatory Agents
  • Muscarinic Agonists
  • Pilocarpine
  • Timolol
  • Prednisone