Posterior Scleritis
Clinical Features:
Common presenting features are pain, tenderness, blurred vision, proptosis and pain or restriction of eye movements. One-third of patients will have no pain. Common findings include retinal striae, exudative retinal detachment and choroidal thickening and detachments (Fig. 17.6.1). Less common manifestations are macular and disc edema, subretinal mass, hemorrhages and exudation. Diagnosis may be difficult in the absence of anterior scleritis.
OCT Features:
CME can occur but serous macular and retinal detachments are most common. The choroid may be thickened on enhanced depth imaging scanning (Figs 17.6.2 and 17.6.3).