
Catalog of Clinical Images Scleritis Inflammation limited to the sclera Note markedly dilated blood vessels which do not extend onto the underside of the lower lid helping to distinguish scleritis from

thickened as well The retro orbital fat was normal there was no retro orbital tumor the cavernous sinus was not enlarged and there was no dilatation of the superior ophthalmic veins Figure 4 CT orbit and brain axial view The right globe was proptosed with uveal thickening which was most pronounced in the posterior wall The lesion enhanced homogenously with

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CLOSE WINDOW Nodular posterior scleritis with fluid in the Tenon capsule The scan on the right demonstrates a positive T sign at the insertion of the optic nerve Patients who are myopic may have

Contributor Gordon K Klintworth

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folds disappeared Figure 7B B scan ultrasound showed a hyperechoic lesion at the optic nerve head due to gliosis The thickness of the sclera choroid complex was 1 82 mm Discussion

contrast agent The medial and lateral recti were thickened as well The cavernous sinus was not enlarged and there was no dilatation of the superior ophthalmic veins B mode ultrasonography showed diffuse thickening of the choroid sclera and episcleral tissues The thickness of the sclera choroid complex measured 2 64 mm The optic

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a prominent T sign Figure 5 There was neither scleral nodule nor retinal detachment The orbital veins were not dilated or tortuous The T sign was diagnostic of posterior scleritis Figure 5 B scan ultrasonography of the patient s right eye There was diffuse thickening of the choroid sclera and episcleral tissues The thickness of the sclera choroid complex

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CLOSE WINDOW Ocular manifestations of syphilis Interstitial keratitis in a patient with ocular syphilis

Contributor Gordon K Klintworth

CLOSE WINDOW Ocular manifestations of syphilis Syphilis chorioretinitis in a 30 year old patient who is mentally retarded

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CLOSE WINDOW Ocular manifestations of syphilis A 73 year old female patient with syphilis Note the optic atrophy arteriolar narrowing pigment loss and clumping

corectopia corneal scar pterygium corneal ulcer scleritis and so on Courtesy of the Don Komick collection To see a larger image of the collection click here

Figure 1 Areas of inflammation in cartilage in a patient with relapsing polychondritis Figure 2 Scleritis in a patient with relapsing polychondritis

A flamed shaped hemorrhage was seen below the superior temporal arcade There were no cotton wool spots retinal edema hard exudates retinal or choroidal detachment and no choroidal mass Figure 3A Color fundus photograph of the right eye showing that the optic disc was swollen and hyperemic Disc hemorrhages were present at 2 4 6 and 10 o clock position Retinal veins

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Nodular scleritis

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left eye was unaffected There was still no evidence of any connective tissue or systemic diseases Her ESR was 10 mm 1st hour and she was negative for LE cells and antinuclear antibody Figure 7A Two months later her vision was no light perception She developed optic atrophy the choroidal folds disappeared Figure 7B B scan ultrasound showed a hyperechoic lesion at

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que al finalizar el tratamiento con isoniacida se procede al alta del paciente con una exploración oftalmológica normal y sin presencia de recurrencias en los últimos 6 meses fig 2 Fig 2 Aspecto clínico del paciente tras estar seis meses con isoniacida oral

Leprosy Eye complications Type 2 Reaction Acute Episcleritis and Scleritis Photo Margreet Hogeweg Leprosy and the Eye Teaching Set 16 24

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were tortuous but not dilated Figure 3B Red free photograph of the right eye showing prominent choroidal folds The macula was involved as well with the loss of foveal reflex The patient was initially thought to have right indirect carotid cavernous fistula We ordered an urgent CT orbit and brain Figure 4 The right globe was proptosed

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seen during initial presentation is inherently corkscrewed green arrow Figure 6B The optic disc swelling retinal vessels tortuosity and choroidal folds reduced markedly The patient did not report any exacerbation of her gastritis nor did she develop any upper gastrointestinal bleed Judging from the clinical response and decrease in

by T cells against specific antigens derived from the retina ex S antigen while anterior uveitis starts as an extraocular process which is secondarily retargeted against the eye Fig 4 KP s Click to enlarge Endophthalmitis

CLOSE WINDOW Ocular manifestations of syphilis Interstitial keratitis in a patient with ocular syphilis

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