A case of nodular posterior scleritis mimicking choroidal mass |
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Authors: | Abdullah Ozkaya Cengiz Alagoz Alperen Koc Hande Mefkure Ozkaya Ahmet Taylan Yaz?c? |
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Affiliation: | aBeyoğlu Eye Research and Training Hospital, Beyoğlu, İstanbul, Turkey;bIstanbul University, School of Medicine, Department of Endocrinology, İstanbul, Turkey |
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Abstract: | The aim of this study is to report clinical and imaging findings, and treatment outcomes of a patient with nodular posterior scleritis. A 41-year-old woman was diagnosed as nodular posterior scleritis in the light of clinical and imaging findings. At first admission best corrected visual acuity was 20/50 in her right eye. Fundus examination revealed an amelanotic subretinal mass under the superior temporal arcade associated with subretinal fluid surrounding it. B-scan ultrasonography, optical coherence tomography, fluorescein angiography, and indocyanine green angiography findings confirmed the diagnosis. As treatment, nepafenac eye drops 3 times a day, and flurbiprofen tablet 100 mg twice a day were prescribed. After 4 weeks of treatment, the ocular pain was relieved, BCVA improved to 20/20, and subretinal mass totally regressed. Although the diagnosis of nodular posterior scleritis may be confusing, it has to be kept in mind in patients with a subretinal/choroidal mass. Multimodal fundus imaging may be helpful in differential diagnosis. The condition is usually curable with non-steroidal anti-inflammatory drugs and/or systemic steroids. |
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Keywords: | Scleritis Choroidal mass Subretinal fluid |
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