A case of hypertrophic pachymeningitis with serous retinal detachment

Yoshikazu Fukumoto, Akihito Sengoku, Masanori Miyazaki, Tatsuro Ishibashi, Kohhei Sonoda

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)1057-1062
Number of pages6
JournalJapanese Journal of Clinical Ophthalmology
Volume71
Issue number7
Publication statusPublished - Jul 2017

All Science Journal Classification (ASJC) codes

  • Ophthalmology

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