Purpose : To report a case of scleritis-related serous retinal detachment and optic neuropathy with hypertrophic pachymeningitis. Case : An 82-year-old woman presented with impaired visual acuity and hyperemia. She had had rheumatoid arthritis for 40 years. Her corrected visual acuity was 0.1 in the left eye. Her left eye showed scleral hyperemia and serous retinal detachment. Gadolinium-enhanced magnetic resonance imaging (MR!) of the brain revealed scleral thickening and meningeal thickening in the frontal lobe, leading to the diagnosis of scleritis and hypertrophic pachymeningitis. Pulsed corticosteroid therapy resulted in improved clinical ocular manifestation. Her visual activity improved to 1.0 five months later. Conclusion : Enhanced MRI was useful in the diagnosis of scleritis and hypertrophic pachymeningitis at the same time.
|Number of pages||6|
|Journal||Japanese Journal of Clinical Ophthalmology|
|Publication status||Published - Jul 2017|
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