Gulshan Barwar¹*, Gargee Mohan Deshmukh², Divya Khandelwal³ and Sonal Agrawal³

¹Consultant, Department of Vitreo-Retina Services, Sankara Eye Hospital, Jaipur, Rajasthan, India
²Registrar, Department of Medical Retina and Cataract Services, Sankara Eye Hospital, Jaipur, Rajasthan, India
³IOL Fellow, Sankara Eye Hospital, Jaipur, Rajasthan, India

*Corresponding Author: Gulshan Barwar, Consultant, Department of Vitreo-Retina Services, Sankara Eye Hospital, Jaipur, Rajasthan, India.

Received: July 21, 2025; Published: August 20, 2025

Abstract

Posterior scleritis is an uncommon condition that usually occurs in adults and the diagnosis is often missed. It is even more rare in children. We report three cases of the disease in children. All three patients presented with severe ocular pain. The diagnosis was confirmed on B-scan ultrasonography with positive T-sign. None of the patient had clinical or laboratory evidence of associated systemic disease. All three children required different set of monotherapy or combination therapy for management of the disease. This condition, although rare, should be recognised in children and managed as per the severity of the disease

Keywords: Retinoblastoma (Rb), Survivors, Families, Quality Of Life (QoL), Health Outcomes, Psychosocial Functioning, Review

References

1. Okhravi N., et al. “Scleritis”. Survey on Ophthalmology4 (2005): 351-363.
2. Benson WE. “Posterior scleritis”. Survey on Ophthalmology5 (1988): 297-316.
3. Cheug CM and Chee SP. “Posterior scleritis in children: Clinical features and treatment”. Ophthalmology 119 (2012): 59-65.
4. Majumder PD., et al. “Clinical Profile of Scleritis in Children”. Ocular Immunology and Inflammation 4 (2018): 535-539.
5. McCluskey PJ., et al. “Posterior scleritis: clinical features, systemic associations, and outcome in a large series of patients”. Ophthalmology 106 (1999): 2380-2386.
6. Khan S., et al. “Painless posterior scleritis: a rare presentation”. Journal of College of Physicians and Surgeons Pakistan 31 (2021): 594-595.
7. Agrawal R., et al. “Nodular posterior scleritis: clinico-sonographic characteristics and proposed diagnostic criteria”. Retina 36 (2016): 392-401.
8. Suhr KS and Patel SS. “Evaluation of diagnostic criteria for B-scan ultrasonography in posterior scleritis”. Investigative Ophthalmology and Visual Science 56 (2015): 612.

Citation

Citation: Gulshan Barwar., et al. “Clinical Presentation of Posterior Scleritis in Pediatric Patients: A Case Series from Tertiary Hospital of Western India".Acta Scientific Ophthalmology 8.9 (2025): 16-20.

Copyright

Copyright: © 2025 Gulshan Barwar. et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.