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Posterior scleritis presenting as conjunctivitis in a child
  1. Jyotiranjan Mallick1,
  2. Susant Pujahari1,
  3. Prafulla Kumar Maharana2
  1. 1All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, Odisha, India
  2. 2Department of Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, Odisha, India
  1. Correspondence to Dr Prafulla Kumar Maharana, drpraful13{at}


A 14-year-old male child presented with redness and decreased vision in the right eye for 7 days. He was being treated for viral conjunctivitis for right eye at a local hospital. His visual acuity was 6/24 OD and 6/9 OS. Slit-lamp examination revealed diffuse conjunctival congestion in the right eye. Dilated fundus examination revealed mild disc hyperaemia and retinal striae in both the eyes. A peripapillary serous detachment of macula in the right eye was seen on optical coherence tomography. B scan ultrasonography revealed increased scleral thickening and characteristic ‘T’ sign in both the eyes. Investigations revealed no other relevant systemic association. A diagnosis of bilateral posterior scleritis was made. The patient was started on topical steroids and oral non-steroidal anti-inflammatory drugs. Within 2 weeks of therapy the visual acuity improved to 6/6, the serous detachment resolved and retinal striae reduced in both the eyes.

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  • Contributors JM has contributed in preparing the manuscript and recording data. SP has contributed in recording the data and figures. PKM has contributed in conceptualisation, final editing and management of the case.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.