BILATERAL POSTERIOR SCLERITIS

Purpose: To describe an unusual presentation of posterior scleritis in a healthy young patient. Method: We reviewed the medical record of 21 -year-old man for clinical presentation, course, and ancillary studies . Results: The healthy patient had a painless, bilateral posterior scl eritis that presented with a combination of circumscribed fundus masse s and exudative macular detachment. On fluorescein angiography, differ ent hyperfluorescent patterns characterized the two manifestations of posterior scleritis. An ultrasound confirmed the scleral thickening. F undoscopic abnormalities resolved with oral prednisone. Conclusion: Pa in is not always present in this disease. A combination of exudative m acular detachment and circumscribed fundus masses can be a form of pre sentation in posterior scleritis.