Posterior Scleritis

  • Aniruddha Agarwal
  • Kanika Aggarwal
  • Muhammad Amir
  • Ramanuj Samanta
  • Rupesh Agrawal
  • Vishali Gupta
Living reference work entry


Posterior scleritis is the rarest form of scleritis that is usually unilateral, associated with pain, diminution of vision, and swelling. This condition can present with a wide range of clinical findings which may be confused for other entities such as orbital tumors, intraocular inflammation, and noninflammatory ocular diseases. Bilateral cases have also been reported in literature. Adequate systemic corticosteroid therapy and immunosuppression help in resolution of the condition.


Optic Neuritis Choroidal Thickening Central Serous Chorioretinopathy Subretinal Fluid Exudative Retinal Detachment 
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Suggested Reading

  1. Agrawal R, Lavric A, Restori M, Pavesio C, Sagoo MS. Nodular posterior scleritis: clinico-sonographic characteristics and proposed diagnostic criteria. Retina. 2016;36:392–401.CrossRefPubMedGoogle Scholar
  2. Gonzalez-Gonzalez LA, Molina-Prat N, Doctor P, Tauber J, Foster CS, de la Sainz M. Clinical features and presentation of posterior scleritis: a report of 31 cases. Ocul Immunol Inflamm. 2014;22:203–7.CrossRefPubMedGoogle Scholar
  3. González-López JJ, Lavric A, Dutta Majumder P, Bansal N, Biswas J, Pavesio C, Agrawal R. Bilateral posterior scleritis: analysis of 18 cases from a large cohort of posterior scleritis. Ocul Immunol Inflamm. 2016;24:16–23.CrossRefPubMedGoogle Scholar
  4. Lavric A, Gonzalez-Lopez JJ, Majumder PD, Bansal N, Biswas J, Pavesio C, Agrawal R. Posterior scleritis: analysis of epidemiology, clinical factors, and risk of recurrence in a cohort of 114 patients. Ocul Immunol Inflamm. 2016;24:6–15.PubMedGoogle Scholar
  5. Uchihori H, Nakai K, Ikuno Y, Gomi F, Hashida N, Jo Y, Nishida K. Choroidal observations in posterior scleritis using high-penetration optical coherence tomography. Int Ophthalmol. 2014;34:937–43.CrossRefPubMedGoogle Scholar

Copyright information

© Springer India 2016

Authors and Affiliations

  1. 1.Advanced Eye CenterPost Graduate Institute of Medical Education and ResearchChandigarhIndia
  2. 2.National Healthcare Group Eye InstituteTan Tock Seng HospitalSingaporeSingapore
  3. 3.Singapore Eye Research Institute and Singapore National Eye CentreSingaporeSingapore
  4. 4.Moorfields Eye HospitalNHS Foundation TrustLondonUK

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