Localized episcleritis-like lesions on both eyes in a patient with para nasal sinusitis.

Background: Some lesions on the ocular surface bear the danger of false diagnosis and, therefore, incorrect therapy.

Case: Our patient suffered from a therapy refractory episcleritis-like disease in both eyes. The conjunctiva and episclera in the temporal inferior quadrant were locally reddened but we could not make a clear diagnosis even after ultrasonic investigation.

Observations: The patient was introduced to an ear, nose, and throat specialist and, by means of magnetic resonance techniques, acute sinusitis maxillaries on the right side was diagnosed but the smear remained sterile.

Conclusion: The red eyes were, therefore, manifestation of the sinusitis. He was treated systemically with penicillin and non-steroidal spray and the ocular lesions disappeared as a result of this therapy.