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Fungal Scleritis with Exudative Retinal Detachment

Purpose: To report a case of fungal scleritis associated with exudative retinal detachment. Design: A rare case report. Methods: Nonresolving fungal scleritis mimicking noninfective scleritis was treated with systemic and topical antifungals and low topical steroids after diagnosis was established on scleral scraping. Even after complete resolution of scleritis, exudative retinal detachment persisted. Results: The patient was advised of a possible need to undergo vitreo retinal surgery if exudative retinal detachment persisted for more than a month after complete resolution of the scleritis component. Conclusion: Infective scleritis must be ruled out in cases of longstanding scleritis not responding to immunosuppressives.