There’s more than meets the eye: Posterior pole conundrum

Purpose To report the clinical features and management using multimodal imaging of optic neuritis and branch retinal artery occlusion (BRAO) associated with posterior scleritis. Methods A 41-year-old male, recently diagnosed with hypertension, presented with sudden onset diminution of vision with painful eye movements. Patient underwent complete ophthalmic evaluation with systemic evaluation Results Early diagnosis led to improvement in BCVA at presentation from counting fingers at 1 metre to 20/80 at 5 month follow up with resolution of subretinal fluid clinically. Conclusion Early and prompt diagnosis can prevent from irreversible vision loss due to optic neuritis and BRAO secondary to posterior scleritis.