{'fraction_non_alphanumeric': 0.019638648860958365, 'fraction_numerical': 0.004713275726630008, 'mean_word_length': 5.214634146341464, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Posterior Scleritis: A Rare Pediatric Disorder

869 Posterior scleritis is defined as inflammation of the sclera posterior to the insertion of the medial and lateral rectus muscles. It is a rare inflammatory disorder most commonly seen in middleaged women. To date, there have only been a few pediatric cases reported in the medical literature. The signs and symptoms of posterior scleritis, including double vision, ocular pain, limitation of eye movement, proptosis, and uveitis, are nonspecific, making the diagnosis difficult. Posterior scleritis is frequently misdiagnosed and only diagnosed correctly after failure of initial therapy. The following is a case report of a 12-year-old girl with a history of iritis 6 months prior to her current presentation. On arrival to the emergency department, she was admitted and treated for acute orbital cellulitis and concurrent sinusitis. Failure to completely respond to treatment with intravenous antibiotics and sinus surgery led to the re-examination and rediagnosis of this patient with posterior scleritis. The diagnosis was based both on her clinical course and findings as well as on ultrasound B-scan imaging. The patient’s signs and symptoms resolved over several months with the initiation of oral corticosteroids.