Panscleritis After Blunt Ocular Trauma in A Child with Epididymitis.

Author: Yi-Nan LIU ¹ ; Yi-Ning GUO ¹ ; Yi-Fan SONG ¹ ; Yan-Jie TIAN ¹ ; Xue-Min LI ¹
Author Information

1. Department of Ophthalmology, Peking University Third Hospital, Beijing 100191, China.
Publication Type:Journal Article
Keywords: blunt ocular trauma; case report; delayed-type hypersensitivity; optic neuropathy; panscleritis
MeSH: Male; Humans; Child; Epididymitis/complications*; Eye Injuries/complications*; Wounds, Nonpenetrating/complications*; Scleritis/etiology*; Face
From: Chinese Medical Sciences Journal 2023;38(1):57-61
CountryChina
Language:English
Abstract: We reported an 8-year-old boy with panscleritis in left eye and right epididymitis after falling on the ground. Etiologic diagnosis played a key role in this case. Systemic examinations ruled out systemic autoimmune diseases, tumors, and infections as the cause of scleritis and suggested that the disease was caused by a local delayed-type hypersensitivity (DTH) induced by ocular trauma and was non-infectious. Still, the right epididymitis was infectious. Both conditions were treated successfully using steroids and antibiotics, respectively. Thus, early etiologic diagnosis and reasonable treatment are crucial to prevent visual loss.