Scleritis

Anterior scleritis

Non-necrotizing

• Diffuse: benign
• Nodular

Necrotizing

• Inflammatory
• Non-inflammatory: scleromalacia perforans

Posterior scleritis (20%)

• 80% have concomitant anterior scleritis
• Poor visual prognosis

Presentation

• Disc swelling
• Exudative RD (cp. VKH)
• Subretinal mass
• Ring choroidal detachment
• Vitritis
• Macular oedema

Systemic associations

• Infective