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Necrobiotic Xanthogranuloma With Posterior Scleritis
Kirk R. Wilhelmus, MD, PhD;
Michael T. Yen, MD;
Lawrence Rice, MD;
Ramon L. Font, MD
Arch Ophthalmol. 2006;124:748.
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A 28-year-old Filipino American man with dry eyes and recurrent episcleritis was first seen by us with anterior scleritis (Figure 1A), posterior scleritis (Figure 1B), and visual acuity of 20/200 OU. After initial improvement, posterior scleritis redeveloped with choroidal folds (Figure 2), optic disc edema (Figure 3A), and retinal striae (Figure 3B) that repeatedly recurred whenever prednisone therapy was tapered to less than 15 mg daily.
Figure appears in full text version.
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Figure 1. Anterior (A) and posterior (B) scleritis. A, Residual changes of sclerosing keratopathy in the right eye. B, B-scan ultrasonogram shows choroidal thickening and retrobulbar edema in the left eye.
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Figure appears in full text version.
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Figure 2. Posterior scleritis with choroidal folds.
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Figure 3. Optical coherence tomography of the left eye shows optic disc edema (A) and retinal striae (B).
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Three years . . . [Full Text of this Article] COMMENT
AUTHOR INFORMATION
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