Posterior Scleritis Secondary to Sarcoidosis

Abstract

Purpose: To report a case of posterior scleritis presumed secondary to sarcoidosis. Results: A 79-year-old male with a history of sarcoidosis presented with asymptomatic conjunctival injection and chemosis of the right eye. The patient presumptively was diagnosed with anterior scleritis of the right eye. At a follow-up visit, examination and diagnostic imaging revealed choroidal folds and increased choroidal thickness. He was diagnosed with posterior scleritis presumed secondary to sarcoidosis in the right eye. The patient was started on topical and oral steroids and the choroidal thickness and folds improved at one-week follow-up. Conclusion: Posterior scleritis is an unusual manifestation of sarcoidosis, but it should be considered in the differential diagnosis of patients with sarcoidosis who present with a red, painful eye, and choroidal folds and thickening. CE Notification: This article is available as a COPE accredited CE course. You may take this course for 1-hour credit. Read the article and take the qualifying test to earn your credit. Click here to Enroll (https://www.crojournal.com/posterior-scleritis-secondary-to-sarcoidosis)