A Case of Posterior Scleritis Following Traumatic Intraocular Foreign Body Removal
10.3341/jkos.2025.66.5.243
- Author:
Dong Gyu NA
1
;
Jihyun YOON
Author Information
1. Kim’s Eye Hospital, Seoul, Korea
- Publication Type:Case Report
- From:Journal of the Korean Ophthalmological Society
2025;66(5):243-246
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Purpose:To describe a case of posterior scleritis accompanied by optic disc edema following the surgical removal of a traumatic intraocular foreign body.Case Summary: A 32-year-old man presented to the hospital after suspecting that a foreign body had entered his left eye while nailing. Slit lamp examination revealed a 2-mm corneal laceration, iris defect, and lens opacity. Lensectomy, vitrectomy, and intraocular foreign body removal were subsequently performed. A magnetic foreign body approximately 1 mm in diameter was extracted from the vitreous cavity. One week after surgery, during an outpatient visit, optic disc swelling and retinal vessel thickening were observed. Oral steroids were initiated and tapered over 2 months. After discontinuing the medication, the patient experienced acute ocular pain and severe ciliary body hyperemia, and B-scan imaging showed thickening of the posterior ocular coat. The diagnosis was posterior scleritis with optic disc swelling, and oral steroids were prescribed and tapered over 12 weeks. Following the secondary intraocular lens scleral fixation, no recurrence of posterior scleritis was noted.
Conclusions:Posterior scleritis should be considered in cases presenting with ocular pain, ciliary body hyperemia, or optic nerve swelling after intraocular foreign body removal surgery.
