Benefits of early treatment with intravenous methylprednisolone in recurrent posterior scleritis

Abstract

The rarity and posterior location of posterior scleritis eludes diagnosis. Similarly, etiological factors of posterior scleritis could be identified in less than half of the cases. We report a case of recurrent posterior scleritis due to presumed ocular tuberculosis (TB) in an elderly lady. Complete resolution of the disease, with the combination of oral steroids, intravenous methylprednisolone, and antitubercular treatment is presented. The role of antitubercular treatment in areas where TB is endemic, even in the absence of its clear-cut evidence is emphasized.

Keywords

• Anti-tubercular treatment
• methylprednisolone
• posterior scleritis
• presumed ocular tuberculosis