- MeSH
- Diagnosis, Differential MeSH
- Adrenal Cortex Hormones administration & dosage MeSH
- Immunosuppressive Agents administration & dosage MeSH
- Middle Aged MeSH
- Humans MeSH
- Choroid Diseases complications MeSH
- Retinal Detachment complications MeSH
- Disease Progression MeSH
- Orbital Pseudotumor * diagnostic imaging drug therapy complications pathology MeSH
- Scleritis * diagnostic imaging complications MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Adult MeSH
- Granulomatosis with Polyangiitis * diagnosis drug therapy complications MeSH
- Humans MeSH
- Prednisone therapeutic use MeSH
- Disease Progression MeSH
- Recurrence MeSH
- Rituximab therapeutic use MeSH
- Scleritis * etiology drug therapy pathology MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Dexamethasone administration & dosage MeSH
- Middle Aged MeSH
- Humans MeSH
- Conjunctival Diseases diagnostic imaging complications pathology MeSH
- Recurrence MeSH
- Scleritis * diagnostic imaging etiology pathology MeSH
- Tuberculoma diagnosis complications pathology MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
Zadní skleritida je potenciálně zrak ohrožující zánětlivý proces, který primárně postihuje zadní segment oka. Výskyt tohoto onemocnění není častý, prevalence se pohybuje kolem 2 %. Zánětlivý proces se může šířit na přilehlou cévnatku a způsobovat její ablaci, která vede ke změlčování přední komory oka a na ultrazvukovém vyšetření se projevuje nálezem tzv. T-znaku. Prezentujeme kazuistiku pacienta se subtotální ablací cévnatky v terénu zadní skleritidy. Osmdesátiletý muž přišel na oční oddělení Klaudiánovy nemocnice z důvodu poklesu zrakové ostrosti na levém oku. Při ultrazvukovém vyšetření postiženého oka jsme prokázali subtotální ablaci cévnatky za přítomnosti T-znaku. Pacientovi byla nasazena intenzivní lokální a celková steroidní terapie. Následně byla zaznamenána kladná odpověď na léčbu steroidy s postupnou absorpcí tekutiny, úpravou odchlípení cévnatky a zlepšením zrakové ostrosti levého oka do původních hodnot.
Ulrych R, Mikšíková I, Stěpanov A. Subtotal choroidal ablation in patient with posterior scleritis Posterior scleritis is a potentially sight-threatening, inflammatory process of the sclera that primarily involves the posterior segment of the eye. It is an uncommon condition, affecting between 2.0 and 17.7% of all scleritis patients. The inflammatory spread of posterior scleritis to the choroid can cause choroidal detachments, which then hastens the shallowing of the anterior chamber and T-sign in the B-mode echography. We report our findings in a case with posterior scleritis with subtotal choroidal ablation in the left eye. An 80-year-old man was referred to our hospital because of decrease of the visual acuity in the left eye. B-mode echography showed choroidal detachments and a T-sign in the right eye. The patient received topical and oral steroid therapy. The posterior scleritis responded well to the systemic steroid therapy followed by absorption of the choroidal detachment and improvement of the visual acuity of the left eye of the patient.
- MeSH
- Amoxicillin pharmacology therapeutic use MeSH
- Choroidal Effusions * etiology drug therapy MeSH
- Humans MeSH
- Tomography, X-Ray Computed methods MeSH
- Prednisone pharmacology therapeutic use MeSH
- Aged, 80 and over MeSH
- Scleritis * diagnosis drug therapy complications MeSH
- Ultrasonography methods MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Aged, 80 and over MeSH
- MeSH
- Acanthamoeba Keratitis diagnosis etiology physiopathology therapy MeSH
- Corneal Dystrophies, Hereditary classification physiopathology pathology therapy MeSH
- Eye Diseases, Hereditary etiology classification pathology therapy MeSH
- Dermoid Cyst classification pathology therapy congenital MeSH
- Diagnosis, Differential MeSH
- Child MeSH
- Keratitis etiology classification physiopathology pathology therapy MeSH
- Humans MeSH
- Corneal Diseases * etiology classification pathology therapy congenital MeSH
- Scleral Diseases etiology classification pathology therapy MeSH
- Eye Infections etiology classification pathology therapy MeSH
- Anterior Eye Segment abnormalities MeSH
- Cornea abnormalities anatomy & histology MeSH
- Scleritis diagnosis etiology classification pathology therapy MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Publication type
- Review MeSH
- MeSH
- Spondylitis, Ankylosing diagnostic imaging complications physiopathology MeSH
- Behcet Syndrome complications MeSH
- Cogan Syndrome complications MeSH
- Diagnosis, Differential MeSH
- Hypertensive Retinopathy drug therapy MeSH
- Arthritis, Juvenile diagnosis complications therapy MeSH
- Keratitis diagnosis drug therapy MeSH
- Humans MeSH
- Eye Manifestations MeSH
- Polyarteritis Nodosa complications MeSH
- Uveitis, Anterior epidemiology etiology therapy MeSH
- Arthritis, Psoriatic diagnosis drug therapy complications MeSH
- Arthritis, Reactive diagnosis drug therapy complications MeSH
- Retinal Arterial Macroaneurysm MeSH
- Arthritis, Rheumatoid diagnosis complications therapy MeSH
- Sjogren's Syndrome diagnosis complications therapy MeSH
- Scleritis MeSH
- Keratoconjunctivitis Sicca diagnosis therapy MeSH
- Dry Eye Syndromes drug therapy physiopathology MeSH
- Scleroderma, Systemic complications physiopathology therapy MeSH
- Lupus Erythematosus, Systemic diagnosis drug therapy complications physiopathology MeSH
- Takayasu Arteritis diagnosis complications physiopathology MeSH
- Uveitis drug therapy classification MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
- MeSH
- Diagnosis, Differential MeSH
- Humans MeSH
- Scleral Diseases * diagnosis drug therapy MeSH
- Eye Infections * diagnosis drug therapy MeSH
- Scleritis diagnosis drug therapy MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
- MeSH
- Autoimmune Diseases MeSH
- Humans MeSH
- Cornea immunology pathology MeSH
- Scleritis * drug therapy MeSH
- Corneal Ulcer * drug therapy MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
- MeSH
- Diagnosis, Differential MeSH
- Humans MeSH
- Scleral Diseases * diagnosis drug therapy MeSH
- Eye Infections * diagnosis drug therapy MeSH
- Scleritis diagnosis drug therapy MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
