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OPHTHALMIC IMAGE
Year : 2021  |  Volume : 1  |  Issue : 2  |  Page : 176

Persistent suprachoroidal fluid pocket in a case of posterior scleritis


1 Department of Ophthalmology, Saveetha Medical College, Chennai, Tamil Nadu, India
2 Dr R P Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India

Date of Web Publication01-Apr-2021

Correspondence Address:
Dr. Rohan Chawla
Dr. R P Centre for Ophthalmic Sciences, Ansari Nagar, AIIMS, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2730_20

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How to cite this article:
Sundar M D, Chawla R, Vikas S J, Hasan N. Persistent suprachoroidal fluid pocket in a case of posterior scleritis. Indian J Ophthalmol Case Rep 2021;1:176

How to cite this URL:
Sundar M D, Chawla R, Vikas S J, Hasan N. Persistent suprachoroidal fluid pocket in a case of posterior scleritis. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Apr 20];1:176. Available from: https://www.ijoreports.in/text.asp?2021/1/2/176/312393



A 29-year-old male, known case of left-eye idiopathic posterior scleritis (past 2 years) currently in remission on oral prednisolone (5 mg/day) and azathioprine (1.5 mg/kg/day) showed persistent orangish changes nasal to fovea [Figure 1]a. Optical coherence tomography (OCT) [Figure 1]b, [Figure 1]c, [Figure 1]d showed a hyporeflective suprachoroidal fluid-pocket (SFP). Since the patient was asymptomatic (visual acuity: 20/40, intraocular pressure: 16 mmHg), same treatment was continued. The SFP has been stable for 6 months. Though the presence of suprachoroidal space on OCT has been documented,[1],[2],[3] focal SFP in posterior-scleritis is a novel finding. It is difficult to comment on whether SFP denotes minimal disease activity, or it is a sequelae of resolved scleritis.
Figure 1: (a): Fundus image showing deep crescentic orangish changes nasal to the fovea (arrow). (b) Three dimensional reconstructed optical coherence tomography (OCT) showing supra choroidal hypo reflective fluid pocket (SFP) (arrow) indenting the overlying choroid and the retina. (c) Swept source OCT with the corresponding line scan (d) showing the cross sectional view of SFP (arrow). The convex anterior margin can be seen

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Moisseiev E, Loewenstein A, Yiu G. The suprachoroidal space: From potential space to a space with potential. Clin Ophthalmol 2016;10:173-8.  Back to cited text no. 1
    
2.
Diep MQ, Madigan MC. Choroidal detachments: What do optometrists need to know?. Clin Exp Optom 2019;102:116-25.  Back to cited text no. 2
    
3.
Gu B, Liu J, Li X, Ma Q, Shen M, Cheng L. Real-time monitoring of suprachoroidal space (SCS) following SCS injection using ultra-high resolution optical coherence tomography in guinea pig eyes. Invest Ophthalmol Vis Sci 2015;56:3623-34.  Back to cited text no. 3
    


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