A case report of bilateral posterior scleritis disguised as orbital cellulitis in a pregnant female
Year: 2025
Type: article
Study design: Case Report
Abstract: Posterior scleritis (PS) is a rare type of scleritis. This report presents a case of bilateral PS masquerading as an orbital cellulitis. A 28-year-old pregnant female presented with a history of right periorbital redness for 4 days and bilateral conjunctival edema for 2 days. Fundoscopy revealed edema of the right optic disc and the macula. Laboratory test results revealed abnormal leukocyte and neutrophil counts. The patient was then diagnosed with orbital cellulitis. However, the symptoms did not improve after two days of antibiotic treatment. Based on the results of ultrasonography, optical coherence tomography, and orbital magnetic resonance imaging, the diagnosis was revised to bilateral PS. After one week of dexamethasone treatment, the edema of the eyelid, conjunctiva, and optic disc subsided. Our case suggests that orbital cellulitis does not respond to antibiotics and may be a disguised manifestation of PS.
Authors: Yulan Zhang, Jun Huang, Chen Wu, Zhiqiang Wang, Lu Shi
Language: English
Subfield: Ophthalmology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4412829481