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Year : 2022  |  Volume : 60  |  Issue : 1  |  Page : 52-54

Idiopathic posterior scleritis: A masquerade of acute angle-closure attack

1 Department of Glaucoma, Sankara Eye Hospital, Bengaluru, Karnataka, India
2 Department of Uvea, Sankara Eye Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Meena Gopinath Menon
Sankara Eye Hospital, Varthur Main Road, Near Kundalahalli Gate, Marathalli, Bengaluru - 560 037, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjosr.tjosr_60_21

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We report a case of a 51-year-old gentleman who presented with diffuse conjunctival congestion, chemosis, and shallow anterior chamber only in his left eye (LE), with an intraocular pressure of 26 mmHg, and closed angles on gonioscopy. B-scan ultrasonography of the LE showed increased choroidal thickness with minimum suprachoroidal fluid effusion. A diagnosis of anterior and posterior scleritis with secondary angle closure was made. The patient showed a favorable response to oral and topical steroids with cycloplegics. Idiopathic scleritis can mimic an acute attack of angle closure. Prompt recognition of the same is vital to providing good clinical outcomes.

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