A Case of Recurrent Posterior Scleritis With Hyperthyroidism in Both Eyes.

Lee, Eung; Jeoung, Sang Moon; Kwon, Jeong Do

doi:2010.51.12.1659

J Korean Ophthalmol Soc > Volume 51(12); 2010 > Article

Case Report

Journal of the Korean Ophthalmological Society 2010;51(12):1659-1664.
DOI: https://doi.org/10.3341/jkos.2010.51.12.1659 Published online December 15, 2010.

A Case of Recurrent Posterior Scleritis With Hyperthyroidism in Both Eyes.

Eung Lee, Sang Moon Jeoung, Jeong Do Kwon

Department of Ophthalmology, Wallace Memorial Baptist Hospital, Busan, Korea. kjdeye@naver.com

갑상선 기능항진증과 동반된 양안 재발성 후공막염 1예

이응ㆍ정상문ㆍ권정도

Department of Ophthalmology, Wallace Memorial Baptist Hospital, Busan, Korea

Abstract

PURPOSE
Posterior scleritis is known to be a rare disease. The authors of the present study herein report a case of posterior scleritis, which occurred in a patient's eye, accompanied by hyperthyroidism and recurring in the other eye one year later. CASE SUMMARY: A 39-year-old female patient visited the hospital for ocular pain in the left eye and a headache. The patient was diagnosed with posterior scleritis through fundus examination, ultrasonography, CT and MRI, and an effective outcome of treatment was obtained by oral administration of methylprednisolone. Four months after discharge, the patient received left subtotal thyroidectomy for thyroid papillary cancer. Seven months after surgery she visited again, due to ocular pain that started 1 week earlier in the left eye, as well as a headache, and was diagnosed with posterior scleritis upon fundus examination, ultrasonography and MRI. Methylprednisolone was administered orally and an effective treatment result was obtained. After discharge, the patient was followed up for 5 months and did not show any signs of recurrence. CONCLUSIONS: When a hyperthyroidism patient has ocular pain or a headache, the possibility of posterior scleritis accompaniment should be considered, as well as the possibility that posterior scleritis, which already occurred in one eye, may recur in the other eye.

Key Words: Hyperthyroidism;Methylprednisolone;Posterior scleritis;Recurrent posterior scleritis;Thyroid papillary cancer