Author/Authors :
Aslankurt, Murat Sütcü İmam University - Faculty of Medicine - Ophthalmology Department, Turkey , Aksoy, Adnan Sütcü İmam University - Faculty of Medicine - Ophthalmology Department, Turkey , Aslan, Lokman Sütcü İmam University - Faculty of Medicine - Ophthalmology Department, Turkey , Yaşar, İbrahim Sütcü İmam University - Faculty of Medicine - Ophthalmology Department, Turkey , Gizir, Harun Sütcü İmam University - Faculty of Medicine - Ophthalmology Department, Turkey
Abstract :
Seventeen years old male patient was admitted to the clinic with complaints of pain in the right eye, reduction of vision, painful eye movements and headache for 10 days. Visual acuity was found Snellen 0.2 on the right eye and 1.0 on the left eye. Anterior segment examination was normal. Fundus examination revealed bilateral chorioretinal fold on the papillo-macular bundle and serous macular detachment on the right eye. Fundus angiography (FA) revealed late macular hyperfluorescence due to leakage. Exudative retinal detachment on the right macula was observed in optical coherence tomography (OCT). Orbital ultrasonography and computed tomography were revealed thickening of the right posterior scleral wall. Investigations did not reveal any other cause of headache or systemic associated autoimmune disease. Oral steroid treatment (metil prednisolon 64 mg/day) was started. It was seen that the left eye also affected at the second week of treatment. OCT revealed bilateral exudative retinal detachment. Treatment was going on. Complaint of decreased visual acuity was recovered one month later, and bilateral exudative retinal detachment resolved. In this article, we aimed to present a case of bilateral idiopathic posterior scleritis and associated exudative retinal detachment and with good response to therapy.
