Posterior Scleritis Flashcards
1
Q
Define
A
Inflammation of the posterior sclera (posterior to the insertion of the rectus muscles)
2
Q
Etiology
A
idiopathic
Collagen vascular disease
Systemic infection
3
Q
Symptoms
A
Minimal to no eye redness Severe, boring eye pain. -Awakens patient -May radiate -Worsens with eye movement -Tearing
Blurry vision
4
Q
Signs
A
Need to do a dilated exam!
Chorioretinal folds that run horizontally. Not as much tautness to the retina. Like a rug folded up
Proptosis
Restricted motility
Hyperopia (because globe is pushed forward)
Peripapillary T sign on B scan. (fluid between Tenon’s capsule and sclera creates a squaring off of the interface between the ON and sclera)
5
Q
Complications
A
Choriodal detachment
Retinal pathology
Optic disc edema
Glaucoma secondary to increased IOP
6
Q
management
A
Oral NSAIDs. Prob refer. Order lab work.
7
Q
Can posterior scleritis ever be an extension of anterior scleritis?
A
Rarely
