Sectoral, tongue-shaped inflammatory posterior corneal stromal debris with adjacent scleritis and episcleritis of infectious etiologies

Abstract

We report an interesting corneal finding of sectoral, tongue-shaped posterior corneal stromal debris with adjacent episcleral inflammation in one case and scleral inflammation in the other case. With appropriate antibiotic treatment, the stromal debris consolidated, organized, and resulted in posterior corneal stromal scarring. The etiology was Pseudomonas scleritis in the first case and Mycobacterium tuberculosis–associated episcleritis in the second case. This case report highlights an atypical corneal finding and its clinical course. The need to rule out infections as a cause in such presentations, especially in the developing world, is emphasized through this report.