Which statement is true about the frequency of anterior versus posterior scleritis?

Which statement is true about the frequency of anterior versus posterior scleritis?

• A. Anterior scleritis is more commonly encountered than posterior
• B. Posterior scleritis is more common than anterior
• C. They are equally common
• D. Posterior scleritis is more common in children

Answer: (A)

Anterior scleritis is more commonly encountered than posterior. The front part of the sclera is affected more often, and its signs—eye pain with prominent scleral injection and redness—are typically evident on examination, leading to more frequent diagnosis. Posterior scleritis is rarer and can imitate orbital inflammation, often requiring imaging for detection, so it does not occur as often; statements suggesting the opposite or that it’s more common in children aren’t accurate.

Anterior scleritis is more commonly encountered than posterior. The front part of the sclera is affected more often, and its signs—eye pain with prominent scleral injection and redness—are typically evident on examination, leading to more frequent diagnosis. Posterior scleritis is rarer and can imitate orbital inflammation, often requiring imaging for detection, so it does not occur as often; statements suggesting the opposite or that it’s more common in children aren’t accurate.