case_images: PMC7745643_01
case_images: Post-Gd axial T1-weighted MR image with fat saturation shows enhancement of bilateral posterior sclera extending to the adjacent optic nerve sheath (arrows); findings are consistent with scleritis. Also noted is mild ill-defined enhancement in retro-conal fat (arrowheads), consistent with mild post-septal cellulitis.
case_images: OC-10-46-g-001.jpg
case_images: PMC7745643_01_OC-10-46-g-001.jpg
case_images: F1
case_images: Despite high-dose steroids, the patient progressed to NLP vision in the contralateral left eye, and repeated MRI demonstrated interval development of acute left optic nerve ischemia and bilateral intra-orbital inflammation (Figure 1 (Fig. 1)).