Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2020; 8(20): 5030-5035
Published online Oct 26, 2020. doi: 10.12998/wjcc.v8.i20.5030
Monocular posterior scleritis presenting as acute conjunctivitis: A case report
Yan-Zhen Li, Xiu-Hong Qin, Jian-Min Lu, Yong-Ping Wang
Yan-Zhen Li, Xiu-Hong Qin, Jian-Min Lu, Yong-Ping Wang, Department of Ophthalmology, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, Liaoning Province, China
Author contributions: Li YZ was the patient’s ophthalmologist, reviewed the literature, and contributed to drafting of the manuscript; Lu JM performed the analysis and interpretation of the imaging findings; Qin XH performed analysis and interpretation of the data; Wang YP conceived and designed the study, and critically revised the article for important intellectual content; all authors issued final approval for the version to be submitted.
Supported by the National Natural Science Foundation of China, No. 81300737; and the Natural Science Foundation of Liaoning Province of China, No. 20180550524.
Informed consent statement: Consent was obtained from the patient for publication of this report.
Conflict-of-interest statement: The authors declare no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yong-Ping Wang, MSc, Attending Doctor, Department of Ophthalmology, The First Affiliated Hospital of Dalian Medical University, No. 222 Zhongshan Road, Dalian 116011, Liaoning Province, China. wangyongping@firsthosp-dmu.com
Received: March 26, 2020
Peer-review started: March 26, 2020
First decision: August 23, 2020
Revised: September 2, 2020
Accepted: September 28, 2020
Article in press: September 28, 2020
Published online: October 26, 2020
Core Tip

Core Tip: We report here a rare case of posterior scleritis, which was initially misdiagnosed as acute conjunctivitis due its presentation of non-specific clinical features, specifically eye pain and redness. Ophthalmic accessory examinations, such as optical coherence tomography, ultrasound biomicroscopy and fundus photography, should be conducted in the early stage of this disease; this will facilitate making the appropriate differential diagnosis and avoid delay in treatment, which could otherwise lead to the loss of vision.