Posterior Scleritis With Annular Ciliochoroidal Detachment

• Published in: American journal of ophthalmology Vol. 120; no. 5; pp. 677 - 679
• Main Authors: Dodds, Emilio M., Lowder, Careen Y., Barnhorst, Donald A., Lavertu, Pierre, Caravella, Louis P., White, Darrell E.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.11.1995; Elsevier
• Subjects: Adrenergic beta-Antagonists - therapeutic use; Adult; Anti-Inflammatory Agents - therapeutic use; Biological and medical sciences; Biopsy; Choroid Diseases - diagnostic imaging; Choroid Diseases - drug therapy; Choroid Diseases - etiology; Ciliary Body - drug effects; Ciliary Body - pathology; Diseases of cornea, anterior segment and sclera; Eye Diseases - complications; Eye Diseases - drug therapy; Glaucoma, Angle-Closure - drug therapy; Glaucoma, Angle-Closure - etiology; Humans; Intraocular Pressure; Male; Medical sciences; Muscarinic Agonists - therapeutic use; Ophthalmology; Parotid Gland - pathology; Pilocarpine - therapeutic use; Prednisone - therapeutic use; Sarcoidosis - complications; Sarcoidosis - drug therapy; Scleritis - drug therapy; Scleritis - etiology; Timolol - therapeutic use; Ultrasonography; Uveal Diseases - drug therapy; Uveal Diseases - etiology; Case study; Human; Ciliary body; Eye disease; Sarcoidosis; Posterior pole; Scleritis; Choroid; Uvea disease; Sclera disease; Unsticking
• ISSN: 0002-9394; 1879-1891
• DOI: 10.1016/S0002-9394(14)72220-2

We studied an unusual case of posterior scleritis in a patient with sarcoidosis. The medical record was reviewed for clinical manifestation, course, and tests performed, including laboratory evaluations, fluorescein angiography, and ultrasonography. The patient had posterior scleritis and unilateral angle-closure glaucoma caused by an annular ciliochoroidal detachment. Sarcoidosis was confirmed by biopsy of an enlarged parotid gland. The mechanism of angle-closure glaucoma may not be clinically or echographically apparent for a week or more in patients who develop annular ciliochoroidal detachment. We also found an unusual association of sarcoidosis and annular ciliochoroidal detachment secondary to posterior scleritis.