1. Pediatric posterior scleritis: a Case report.
Stephany Carrillo, Alberto Calvo, Carme Macià, Antonio Segura.
Hospital Universitario Valle de Hebrón

2. Case Patient: 13 year old female
Redness and painful left eye movements for one day.
BCVA:
RE: 20/20 / LE: 20/30
No movements limitations
Slit lamp:
RE: Normal / RE: Ciliary injection and tyndall +0.5.
Fundoscopy:
RE: Normal
LE: Vitritis +1 and posterior serous retinal detachment

3. Fundoscopy:

4. B‑scan ultrasonography

5. Autofluorescence

6. posterior serous retinal detachment

7. Left Eye Fluorescein Angiography

8. Left eye Periphery Angiography

9. Approach Normal chest X‑ray
Complete blood count, erythrocyte sedimentation rate, C‑reactive protein,
Immuno-proteins; anti-transglutaminase, rheumatoid, anti‑nuclear, and Anti-neutrophil cytoplasmic antibodies (ANCAs) were normal.
Serology for Bartonella henselae and quintana, Borrelia burgdorferi, Treponema pallidum, and Toxoplasma gondii were negative.

10. Posterior scleritis
Inflammation of the sclera posterior to the equator
Prevalence: six cases per 10,000 population (anterior scleritis 94% posterior scleritis 6%)
Rare In the pediatric age group
It is often idiopathic.
It occurs both in males and females.

11. Treatment for idiopathic posterior scleritis
Topical dexamethasone and cycloplegia
60 mg oral prednisolone per day.

12. Follow up
Day 1
Day 6
Day 8

13. Follow up

14. Conclusion: Posterior scleritis is rare in pediatric age group.
It should be considered in the differential diagnosis of acute pain, redness, and loss of vision.
Autoimmune and infectious diseases must be ruled out, though often idiopathic.
Prompt treatment with systemic steroids may lead to complete visual recovery.