Journal d'ophtalmologie clinique et expérimentale
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Posterior scleritis revealing Behçet's disease: a case report.

Farah Benelkadri*, Mehdi El Filali, Salaheddine Bouabbadi, Mohamed Kriet

Introduction: Behcet’s disease is a systemic inflammatory disease. Ocular manifestations are an important diagnostic criterion. It is frequent and serious and may affect the visual prognosis. Its particularity is the richness of the initial ophthalmologic presentation and the good clinical evolution under treatment.

We present the case of a patient with a posterior scleritis revealing Behcet’s disease.

Aim: Underline a rare mode of revelation of Behcet’s disease, which is posterior scleritis.

Observation: It is about a young patient of 24 years old who presented for a painful exophthalmos of the left eye with a decrease visual acuity whose questioning revealed a recurrent oral aphthosis with pseudo folliculitis.

Results: Ophthalmologic examination of the left eye revealed retinal folds at the posterior pole with papillary oedema.

B-scan ultrasonography showed thickening of the scleral tissue, revealing a T-sign suggestive of posterior scleritis, which was also clearly visible on orbit scanner and orbit Magnetic Resonance Imaging (MRI). The clinical, radiological and biological arguments made it possible to make the diagnosis of Behcet’s disease. High dose corticosteroid therapy was introduced and the outcome was spectacular.

Discussion: Ocular involvement in Behcet’s disease is an important diagnostic criterion. Only two cases of posterior scleritis that is reported in the literature and no case so far has revealed the disease.

Conclusion: Although posterior scleritis is a rare condition in Behcet’s disease, it must be thought about.