A case of bilateral sclerouveitis with secondary glaucoma right eye

Infectious scleritis is rare and most commonly herpetic in origin. We report an unusual bilateral subacute presentation of scleritis with uveitis and glaucoma which responded to treatment with acyclovir. A 47-year-old male coast guard personnel presented with 2 months history of bilateral red eye. H...

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Bibliographic Details
Published in:Medical journal. Armed Forces India 2022-09, Vol.78 (Suppl 1), p.S312-S314
Main Authors: Pandey, Ashish Kumar, Khan, M.A., Singh, Anirudh, Nair, Nithya
Format: Article
Language:English
Subjects:
Case Report
Herpes virus
Scleritis
Secondary glaucoma
Uveitis
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Summary:Infectious scleritis is rare and most commonly herpetic in origin. We report an unusual bilateral subacute presentation of scleritis with uveitis and glaucoma which responded to treatment with acyclovir. A 47-year-old male coast guard personnel presented with 2 months history of bilateral red eye. He was initially managed elsewhere as conjunctivitis, and on examination had bilateral diffuse redness of the eyes persisting with phenylephrine, with scleral edema and mild globe tenderness. Investigations for underlying autoimmune systemic illness were normal. He showed inadequate response to topical steroids and cycloplegics and developed uveitis and glaucoma while on steroids. He was then given tablet acyclovir with antiglaucoma topical medications with which he showed rapid response and complete resolution. The case is being reported for highlighting this unusual bilateral presentation of scleritis with uveitis and glaucoma with possible viral etiology.
ISSN:0377-1237
2213-4743
DOI:10.1016/j.mjafi.2021.03.022