A case of posterior scleritis presenting as unilateral secondary angle-closure glaucoma

Abstract

Posterior scleritis is a rare ophthalmologic disease with inconstant manifestations, which occasionally leads to misdiagnoses and mistreatment. This paper reports a patient presented with secondary angle glaucoma after initially diagnosed and treated as primary angle closure glaucoma. Previous treatment with miotics worsens the closure of the angle and acute angle-closure attack was successfully resolved with immediate systemic corticosteroids plus cycloplegic treatment. Our aim in reporting this case is to remind the variable presentations of posterior scleritis and to emphasize diversity between treatment of primary and secondary angle closure glaucoma