Abstract
Purpose: To describe an unusual presentation of posterior scleritis in a healthy young patient. Method: We reviewed the medical record of 21 -year-old man for clinical presentation, course, and ancillary studies. Results: The healthy patient had a painless, bilateral posterior scleritis that presented with a combination of circumscribed fundus masses and exudative macular detachment. On fluorescein angiography, different hyperfluorescent patterns characterized the two manifestations of posterior scleritis. An ultrasound confirmed the scleral thickening. Fundoscopic abnormalities resolved with oral prednisone. Conclusion: Pain is not always present in this disease. A combination of exudative macular detachment and circumscribed fundus masses can be a form of presentation in posterior scleritis.
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