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International Ophthalmology
Published in: International Ophthalmology 1/2015

01-02-2015 | Case Report

Posterior scleritis with retinal pigment epithelium rip: an unusual presentation

Authors: Bassey Fiebai, Tapas Ranjan Padhi, Krushna Gopal Panda, Rohit Ramesh Modi

Published in: International Ophthalmology | Issue 1/2015

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Abstract

Posterior scleritis is a great mimicker and can cause irreversible visual loss because of late or misdiagnosis. We report a case of retinal pigment epithelial rip in the event of nodular posterior scleritis that is hardly reported in the literature. The authors hypothesize the rip to be a result of inflammation, exudation and continuing pressure by the fluid or granuloma on the pigment epithelium.
Literature
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Gonzalez-Gonzalez LA, Molina-Prat N, Doctor P et al (2014) Clinical features and presentation of posterior scleritis: a report of 31 cases. Ocul Immunol Inflamm 22:203–207PubMedCrossRef
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Biswas J, Mittal S, Ganesh SK et al (1998) Posterior scleritis: clinical profile and imaging characteristics. Indian J Ophthalmol 46:195–202PubMed
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Berger G, Reeser F (1980) Retinal pigment epithelial detachments in posterior scleritis. Am J Ophthalmol 90:604–606PubMedCrossRef
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McCluskey PJ, Watson PG, Lightman S et al (1999) Posterior scleritis: clinical features, systemic associations, and outcome in a large series of patients. Ophthalmology 106:2380–2386PubMedCrossRef
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Tsujikawa A, Hirami Y, Nakanishi H et al (2007) Retinal pigment epithelial tear in polypoidal choroidal vasculopathy. Retina 27:832–838PubMedCrossRef
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Emerson GG, Ghazi NG (2005) Spontaneous rip of the retinal pigment epithelium with a macular hole in neovascular age-related macular degeneration. Am J Ophthalmol 140:316–318PubMedCrossRef
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Chang LK, Sarraf D (2007) Tears of the retinal pigment epithelium: an old problem in a new era. Retina 27:523–534PubMedCrossRef
Metadata
Title
Posterior scleritis with retinal pigment epithelium rip: an unusual presentation
Authors
Bassey Fiebai
Tapas Ranjan Padhi
Krushna Gopal Panda
Rohit Ramesh Modi
Publication date
01-02-2015
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 1/2015
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-014-0031-9

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