{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:37Z","timestamp":1756339537216,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,11,11]]},"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:p>A woman aged mid 70s with mild learning difficulty presented with eye symptoms, headache and shoulder pains. She was found to have bilateral posterior scleritis secondary to giant cell arteritis. Posterior scleritis is a potentially blinding condition, with ambiguous symptoms and signs, therefore diagnosis is commonly delayed. This patient was seen in General Practice as well as in Accident and Emergency, where diagnoses of acute angle closure glaucoma as well as iritis were rightfully considered. Her symptoms persisted for 11 days before ophthalmic opinion was sought. Thorough assessment of a painful red eye as well as knowledge of these red-flag signs may allow early treatment and a better outcome for patients. The Royal College of Ophthalmologists has published guidance on how to assess and manage visual loss in people with learning difficulties, including recognising \u2018symptoms\u2019 such as hesitancy on steps, eye rubbing and loss of interest in activities.<\/jats:p>","DOI":"10.1136\/bcr-2022-251208","type":"journal-article","created":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T09:26:26Z","timestamp":1669368386000},"page":"e251208","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Bilateral posterior scleritis due to giant cell arteritis"],"prefix":"10.1136","volume":"15","author":[{"given":"Ayesha","family":"Karimi","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Surrey and Sussex Healthcare NHS Trust, Redhill, Surrey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsz Lun Ernest","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Surrey and Sussex Healthcare NHS Trust, Redhill, Surrey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guy","family":"Negretti","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Surrey and Sussex Healthcare NHS Trust, Redhill, Surrey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,11,25]]},"reference":[{"key":"2025082709143081000_15.11.e251208.1","doi-asserted-by":"crossref","first-page":"1250","DOI":"10.1007\/s00259-018-3973-8","article-title":"FDG-PET\/CT(A) imaging in large vessel vasculitis and polymyalgia rheumatica: joint procedural recommendation of the EANM, SNMMI, and the PET Interest Group (PIG), and endorsed by the ASNC","volume":"45","author":"Slart","year":"2018","journal-title":"Eur J Nucl Med Mol Imaging"},{"key":"2025082709143081000_15.11.e251208.2","doi-asserted-by":"publisher","DOI":"10.3109\/09273948.2015.1005240"},{"key":"2025082709143081000_15.11.e251208.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(99)90543-2"},{"key":"2025082709143081000_15.11.e251208.4","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780330810"},{"key":"2025082709143081000_15.11.e251208.5","doi-asserted-by":"crossref","first-page":"1244","DOI":"10.1080\/09273948.2017.1343854","article-title":"Bilateral posterior scleritis associated with giant cell arteritis: a case report","volume":"26","author":"Erdogan","year":"2018","journal-title":"Ocul Immunol Inflamm"},{"key":"2025082709143081000_15.11.e251208.6","doi-asserted-by":"crossref","first-page":"e141","DOI":"10.1016\/j.jcjo.2014.08.015","article-title":"Bilateral posterior scleritis as a presenting manifestation of giant cell arteritis: a case report","volume":"49","author":"Cavallini","year":"2014","journal-title":"Can J Ophthalmol"},{"key":"2025082709143081000_15.11.e251208.7","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2011-130282"},{"key":"2025082709143081000_15.11.e251208.8","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12067"},{"key":"2025082709143081000_15.11.e251208.9","unstructured":"Norah fry research centre, University of Bristol. CIPOLD (Confidential inquiry into premature deaths of people with learning disabilities), 2013. Available: http:\/\/www.bristol.ac.uk\/cipold\/ [Accessed 29 Mar 2021]."},{"key":"2025082709143081000_15.11.e251208.10","doi-asserted-by":"publisher","DOI":"10.1177\/1744629506070057"},{"key":"2025082709143081000_15.11.e251208.11","unstructured":"Royal College of Ophthalmologists . New: eye care services for adults with learning disabilities, 2015. Available: https:\/\/www.rcophth.ac.uk\/2015\/09\/update-guidance-on-eye-care-services-for-adults-with-learning-disabilities\/ [Accessed 29 Mar 2021]."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-251208","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:14:38Z","timestamp":1756311278000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-251208"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":11,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,11,25]]},"published-print":{"date-parts":[[2022,11]]}},"alternative-id":["10.1136\/bcr-2022-251208"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-251208","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,11]]}}}