ST is a 21-year-old man who complained of an intermittent chronic throbbing pain behind his eye. There was only mild temporal conjunctival injection on clinical examination. B-scan demonstrated posterior scleral thickening with echolucency of subtenon’s space (Fig. 136). A-scan quantitated the thickness of the sclera to be 2.1 mm and revealed an adjacent low reflective area in the orbit. He had no associated systemic symptoms and was started on an oral nonsteroidal anti-inflammatory with gradual improvement of his symptoms over 2 weeks. Repeat echography showed resolution of the scleral edema.
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