IgG4-Related Disease Presenting as Isolated Scleritis
Immunoglobulin G4-related disease (IgG4-RD) is an immune-mediated condition that can affect almost any organ. The typical ophthalmic manifestation is lacrimal gland enlargement (dacryoadenitis). The diagnosis can be confirmed by blood tests and histology during the acute phase. We present a unique case of nodular scleritis due to isolated IgG4-RD, which responded well to immunosuppressive and immunomodulatory treatment.

Case Report
A 20-year-old female presented with complaints of discomfort and redness of her left eye of one week's duration. She had no associated visual complaints. Ocular examination revealed a localized inflamed superior bulbar conjunctival swelling in the form of scleritis. Ocular motility was preserved, and visual acuity was 6/6 in both eyes. Anterior segment ocular computerized tomography (OCT) demonstrated a thickened episclera and sclera with hyporeflective areas representing fluid in the region, confirming the diagnosis of scleritis.

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Dr. K●●●●●K M●●●●H
Dr. K●●●●●K M●●●●H Ophthalmology
Ocular OCt was done how ?and which machine
Feb 21, 2017Like
Dr. K●●●●●K M●●●●H
Dr. K●●●●●K M●●●●H Ophthalmology
What was the immunosuppressive and modulation used
Feb 21, 2017Like