Chinese Medical Sciences Journal ›› 2023, Vol. 38 ›› Issue (1): 57-61.doi: 10.24920/004150

• Case Report • Previous Articles     Next Articles

Panscleritis After Blunt Ocular Trauma in A Child with Epididymitis

Yi-Nan Liu1, 2, Yi-Ning Guo1, 2, Yi-Fan Song1, 2, Yan-Jie Tian1, 2, *(), Xue-Min Li1, 2, *()   

  1. 1Department of Ophthalmology, Peking University Third Hospital, Beijing 100191, China
    2Beijing Key Laborory of Restoration of Damaged Ocular Nerve, Beijing 100191, China
  • Received:2022-08-02 Accepted:2022-12-19 Published:2023-03-31 Online:2023-01-12
  • Contact: Yan-Jie Tian,Xue-Min Li E-mail:tianyanjietongxun@163.com;lxmlxm66@sina.com

We reported an 8-year-old boy with panscleritis in left eye and right epididymitis after falling on the ground. Etiologic diagnosis played a key role in this case. Systemic examinations ruled out systemic autoimmune diseases, tumors, and infections as the cause of scleritis and suggested that the disease was caused by a local delayed-type hypersensitivity (DTH) induced by ocular trauma and was non-infectious. Still, the right epididymitis was infectious. Both conditions were treated successfully using steroids and antibiotics, respectively. Thus, early etiologic diagnosis and reasonable treatment are crucial to prevent visual loss.

Key words: panscleritis, blunt ocular trauma, optic neuropathy, delayed-type hypersensitivity, case report

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