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Posterior Scleritis: Clinic, Diagnosis, and Treatment

Posterior scleritis is a painful inflammatory disease that affects the sclera behind the ora serrata. Although it can be seen at any age, it is mostly seen over the age of 40 and mostly affects women. It is usually unilateral. The most common symptoms are periocular pain and loss of vision. It is often idiopathic but it may be associated with systemic diseases such as rheumatologic and autoimmune illnesses. Because of its variable clinical features, the differential diagnosis should be done with orbital or intraocular inflammation and ocular tumors. B-mode ultrasonography (USG), computed tomography, and magnetic resonance imaging are helpful in diagnosis. Posterior scleritis should be kept in mind in all inflammatory and painful ocular disorders without a significant etiology. With the correct diagnosis, appropriate and aggressive treatment, it is possible to recover and protect vision.