Abstract
BackgroundPosterior scleritis is an uncommon vision-threatening disorder that is often recurrent and difficult to cure due to its complex etiology. In HIV patients, posterior scleritis may develop several months after significant rise in CD4+ T-lymphocyte, even after several years, which may be diagnosed as late-onset immune recovery scleritis.Case presentationHere we report a case of posterior scleritis in a HIV positive patient who presented with severe periocular pain and decreased vision in the left eye, with exudative retinal detachment and optic nerve involvement.ConclusionsEarly differential diagnosis of immune recovery posterior scleritis and intensive corticosteroids treatment, can prevent vision loss effectively in HIV patients.
Highlights
Posterior scleritis is an uncommon vision-threatening disorder that is often recurrent and difficult to cure due to its complex etiology
Posterior scleritis refers to a heterogeneous group of disorders characterized by chronic inflammatory response, which is associated with exudative retinal detachment and optic nerve involvement
We report a human immunodeficiency virus (HIV) patient who was diagnosed with presumed immune recovery posterior scleritis unassociated with infectious etiology or rheumatologic diseases
Summary
Posterior scleritis is an uncommon vision-threatening disorder that is often recurrent and difficult to cure due to its complex etiology. Immune recovery scleritis, is a noninfectious scleral inflammation which develops in patients with CMV retinitis or other intraocular infections after substantial increase in CD4+ T-lymphocyte. We report a HIV patient who was diagnosed with presumed immune recovery posterior scleritis unassociated with infectious etiology or rheumatologic diseases.
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