Posterior scleritis mimicking indirect carotid-cavernous fistula

Tan Aik Kah, Mallika Prem Senthil, Mohamad Aziz Salowi, Asokumaran Thanaraj, Intan Gudom

Research output: Contribution to journalArticlepeer-review


Purpose: To report a case of posterior scleritis that mimicked indirect carotid-cavernous fistula.

Case Report: A 53 year old lady presented with two weeks’ history of right eye redness and blurring of vision associated with right sided headache and ocular pain. The episcleral vessels were dilated and tortuous. Fundus examination revealed optic disc swelling and choroidal folds. B-scan ultrasonography demonstrated the “T” sign which is diagnostic of posterior scleritisConclusion: This case report highlighted the variable clinical symptoms and signs of posterior scleritis. Clinician must maintain a high index of suspicion for posterior scleritis in patients who present with painful blurring of vision. Effort should be made to rule out any systemic association which must be treated promptly.
Original languageEnglish
JournalThe Internet Journal of Ophthalmology and Visual Science
Issue number1
Publication statusPublished - 2008
Externally publishedYes


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