DF is a 26-year-old man who complained of mild aching behind his left eye and some blurring for several weeks. He presented to an optometrist who documented vision of 20/20 OD and 20/30+2 OS. Slit-lamp examination revealed mild injection of the conjunctiva of the right eye and a clear anterior chamber without flare or cells. Fundus examination revealed a creamy yellow lesion temporal to the macula. Echography demonstrated a dome-shaped lesion on B-scan with low-to-medium irregular reflectivity on A-scan with some high reflective scleral thickening (Figs. 300 and 301). The differential diagnosis included an inflammatory choroidal edema secondary to posterior scleritis. He was treated with topical steroids and systemic nonsteroidal anti-inflammatory medication with resolution of his symptoms and the fundus lesion over 2 weeks.
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