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¹M.D. Bozyaka Training and Research Hospital, Eye Clinic, Izmir/TURKEY
²M.D. Asistant, Bozyaka Training and Research Hospital, Eye Clinic, Izmir/TURKEY
³M.D. Associate Professor, Bozyaka Training and Research Hospital, Eye Clinic, Izmir/TURKEY We aimed to introduce ocular and clinical features of a patient with bilateral posterior scleritis presenting with serous retinal detachment in the left eye initially and afterwards followed by involvement of the right eye. Visual acuity (VA) was 20/20 in the right eye and 20/2000 in the left eye in a 30 years old lady who was suffering from decrease in visual acuity of the left eye and periocular pain for 1 week. Biomicroscopy of the left eye revealed chemosis and conjunctival hyperemia. Serous macular detachment was seen in the fundus evaluation of the left eye. Ophthalmological examination was completely normal in the right eye. All the findings in the left eye regressed by systemic and topical steroid treatment. The patient was suffering from decrease in visual acuity of the right eye at the visit 6 weeks after from the beginning. VA was 20/800 in the right eye and 20/100 in the left eye. Biomicroscopy of the right eye revealed chemosis, proptosis and conjunctival hyperemia. Serous macular detachment was seen in the fundus evaluation of the right eye. Same treatment regimen as the left eye had been applied again. VA was 20/25 bilaterally and biomicroscopy and fundoscopy were normal in both eyes 6 months after the first involvement. Finally posterior scleritis must be kept in mind for the differential diagnosis of patients with serous retinal detachment. Furthermore involvement of the other eye must not be forgotten and should be checked out at all visits. Keywords : Posterior scleritis, bilateral, serous retinal detachment