A case of posterior scleritis presenting various fundal appearances

A case of relapsing posterior scleritis presenting various fundal appearances is reported. The patient, a 37-year-old male with a history of optic neuritis, consulted our clinic complaining of left ocular pain. At age 34, iridocyclitis and papillitis of the left eye had been observed, and were treated with topical corticosteroids. At age 45, acute visual disturbance, injection and papillitis were observed, with right ocular pain. Systemic steroids were given after the appearance of iridocyclitis and star-shaped exudate in the macula. At age 48, anterior scleritis and serous retinal detachment were observed in the right eye. Multiple hyperfluorescent points were seen on FAG, followed by pooling of dye during the late phase. Ultrasonography and CT revealed a thickened posterior sclera. Posterior scleritis was diagnosed, and systemic steroids were used effectively to treat the condition. A similar relapse was observed in the right eye at age 50. This case presented diverse clinical pictures of the fundus during each episode, indicating that posterior scleritis should be included in the differential diagnosis of any lesion involving the posterior segment of the eye.