What is the role of imaging studies in the workup of scleritis?

Updated: Feb 08, 2021
  • Author: Theodore J Gaeta, DO, MPH, FACEP; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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B-scan ultrasonography may assist in detecting posterior scleritis. Ultrasonographic changes include scleral and choroidal thickening, scleral nodules, distended optic nerve sheath, fluid in Tenons capsule, or retinal detachment. [24]  

MRI or CT scans may play a role, but they should be ordered in consultation with an ophthalmologist. Chest radiography may be indicated to look for underlying pulmonary involvement arising from systemic disease. Imaging of sacroiliac joints is prudent when ankylosing spondylitis is suspected.

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