Posterior scleritis with retinal pigment epithelium rip: an unusual presentation

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• 作者：Bassey Fiebai (1)
  Tapas Ranjan Padhi (2)
  Krushna Gopal Panda (2)
  Rohit Ramesh Modi (2)
  
• 关键词：Posterior scleritis ; Nodular posterior scleritis ; Retinal pigment epithelium ; Retinal pigment epithelial rip ; Subretinal lesion
• 刊名：International Ophthalmology
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：35
• 期：1
• 页码：141-144
• 全文大小：412 KB
• 参考文献：1. Gonzalez-Gonzalez LA, Molina-Prat N, Doctor P et al (2014) Clinical features and presentation of posterior scleritis: a report of 31 cases. Ocul Immunol Inflamm 22:203鈥?07 CrossRef
  2. Biswas J, Mittal S, Ganesh SK et al (1998) Posterior scleritis: clinical profile and imaging characteristics. Indian J Ophthalmol 46:195鈥?02
  3. Berger G, Reeser F (1980) Retinal pigment epithelial detachments in posterior scleritis. Am J Ophthalmol 90:604鈥?06 CrossRef
  4. McCluskey PJ, Watson PG, Lightman S et al (1999) Posterior scleritis: clinical features, systemic associations, and outcome in a large series of patients. Ophthalmology 106:2380鈥?386 CrossRef
  5. Gass JD (1984) Pathogenesis of tears of the retinal pigment epithelium. Br J Ophthalmol 68:513鈥?19 CrossRef
  6. Tsujikawa A, Hirami Y, Nakanishi H et al (2007) Retinal pigment epithelial tear in polypoidal choroidal vasculopathy. Retina 27:832鈥?38 CrossRef
  7. Emerson GG, Ghazi NG (2005) Spontaneous rip of the retinal pigment epithelium with a macular hole in neovascular age-related macular degeneration. Am J Ophthalmol 140:316鈥?18 CrossRef
  8. Chang LK, Sarraf D (2007) Tears of the retinal pigment epithelium: an old problem in a new era. Retina 27:523鈥?34 CrossRef
  
• 作者单位：Bassey Fiebai (1)
  Tapas Ranjan Padhi (2)
  Krushna Gopal Panda (2)
  Rohit Ramesh Modi (2)
  
  1. Vitreoretinal Unit, Department of Ophthalmology, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
  2. Vitreoretinal Services, LV Prasad Eye Institute, Patia, Bhubaneswar, 751024, Odisha, India
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Ophthalmology
  
• 出版者：Springer Netherlands
• ISSN：1573-2630

文摘

Posterior scleritis is a great mimicker and can cause irreversible visual loss because of late or misdiagnosis. We report a case of retinal pigment epithelial rip in the event of nodular posterior scleritis that is hardly reported in the literature. The authors hypothesize the rip to be a result of inflammation, exudation and continuing pressure by the fluid or granuloma on the pigment epithelium.