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The Journal of Headache and Pain

Official Journal of the "European Headache Federation" and of "Lifting The Burden - The Global Campaign against Headache"

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Open Access

A case of posterior scleritis: differential diagnosis of ocular pain

  • Ferdinando Maggioni1Email author,
  • Silvia Ruffatti1,
  • Federica Viaro1,
  • Federico Mainardi2,
  • Carlo Lisotto3 and
  • Giorgio Zanchin1
The Journal of Headache and Pain20078:372

Received: 13 January 2007

Accepted: 13 February 2007

Published: 11 May 2007


Posterior scleritis is a rare cause of ocular pain, due to scleral inflammation, presenting with periocular pain, pain on movement and decreased vision. Although anterior scleritis may be associated with this condition, ocular signs may be absent. We report a case of posterior scleritis, presenting with right-sided ocular and periocular pain, exacerbated by ocular movements, irradiating to the ipsilateral temple and zygoma, not associated with visual disturbances at onset. Diagnosis was made with ultrasonography and confirmed by brain and orbital MRI. Differential diagnosis of facial pain, in particular, affecting the periorbital region, is discussed. In the presence of ocular pain, even in the absence of ocular signs, an ophthalmologic consultation should be performed.


Posterior scleritisFacial painDifferential diagnosis


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