Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2024, Vol. 38 ›› Issue (4): 126-130.doi: 10.6040/j.issn.1673-3770.0.2023.078

• Original Article • Previous Articles     Next Articles

Easily misdiagnosed posterior scleritis:a case and literature review

CHEN Haiyan1, WANG Ping2   

  1. 1. School of Clinical Medicine, Weifang Medical University, Weifang 261053, Shandong, China2. Eye Center, Affiliated Hospital of Weifang Medical University, Weifang 261000, Shandong, China
  • Published:2024-07-09

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Abstract: Objective To investigate the etiology, pathogenesis, clinical manifestations, diagnostic approach, differential diagnosis, treatment, and prognosis of posterior scleritis, with a focus on early diagnosis and prevention of misdiagnosis and missed diagnosis. Methods The clinical data of a young patient with posterior scleritis were retrospectively analyzed, and the diagnosis, treatment process, and clinical reasoning of this case were summarized and analyzed. Results Following 2 weeks of treatment, the corrected visual acuity of the left eye was improved from 0.12 to 0.8, with the resolution of symptoms and signs. Conclusion Posterior scleritis presents with diverse clinical manifestations and is easily misdiagnosed as dacryoadenitis or central serous chorioretinopathy. Therefore, detailed inquiry and careful physical examination are crucial in improving the early diagnostic rate of posterior scleritis and avoiding misdiagnosis and mistreatment.

Key words: Posterior scleritis, Clinical manifestations, Differential diagnosis, Misdiagnosis

CLC Number: 

  • R772.3+3
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