Giant Nodular Posterior Scleritis Mimicking Choroidal Tumor

Sridharan, Sridha; Juneja, Ruchi; Hussain, Abrez; Biswas, Jyotirmay

doi:10.1097/01.icb.0000264802.71612.1c

Cited by 7 publications

(3 citation statements)

References 3 publications

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“…And thirdly, it is vital to understand that some types of uveitis may occur with a giant elevated lesion, as Sridharan et al reported in a 53-year-old female case of posterior scleritis [ 13 ]. In that study, the lesion was initially thought to be an amelanotic melanoma.…”

Section: Discussionmentioning

confidence: 99%

A case of scleritis associated rheumatoid arthritis accompanying an intraocular elevated lesion

et al. 2018

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BackgroundScleritis and/or uveitis sometimes accompanies patients who suffer from rheumatoid arthritis. However, few studies have reported scleritis and/or uveitis accompanying a fundus elevated lesion, such as an intraocular tumor. In this study, we report a case of rheumatoid uveitis associated with an intraocular elevated lesion.Case presentationA 66-year-old female visited another eye clinic and was diagnosed as bilateral anterior uveitis, and was prescribed steroid eye drops for treatment. She had previously been diagnosed as rheumatoid arthritis at the age of 30 years. Due to vitreous opacity that appeared in her right eye, we increased the instillation of steroid eye drops and the amount of oral prednisolone. Although the inflammation had improved, anterior uveitis relapsed, and an intraocular whitish elevated lesion resembling an intraocular tumor at the superior nasal retina appeared. We speculated this lesion to be a granuloma complicated with rheumatoid arthritis. Thus, we increased the amount of prednisolone administration, and the lesion began to shrink and ultimately fully disappeared.ConclusionsWe strongly believe that our case’s lesion was a subretinal granuloma related with rheumatoid arthritis, as it disappeared by increased corticosteroid treatment. Our findings show that we should consider rheumatoid arthritis in a differential diagnosis of such types of fundus elevated lesions.

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Section: Discussionmentioning

confidence: 99%

A case of scleritis associated rheumatoid arthritis accompanying an intraocular elevated lesion

et al. 2018

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“…Nodular posterior scleritis can be treated by a variety of agents including the use of corticosteroid and nonsteroidal anti-inflammatory agents. [ 4 8 9 ] McCluskey et al . used systemic corticosteroids and immunosuppressive therapy when the posterior scleritis involved the optic nerve or was associated systemic diseases.…”

Section: Discussionmentioning

confidence: 99%

“…treated their case of giant nodular posterior scleritis with a 6-week course of oral steroid. [ 9 ] There was one case report of giant nodular posterior scleritis which remained stable with preserved visual acuity without any treatment for years. [ 10 ] Our patient received a short-course of oral NSAID with good response.…”

Section: Discussionmentioning

confidence: 99%

A case of giant nodular posterior scleritis mimicking choroidal malignancy

Liu

Luk

Chan

2015

Indian J Ophthalmol

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To report a case of giant nodular posterior scleritis mimicking a choroidal tumor. A 42-year-old lady with systemic hypertension presented with a 1-week history of unilateral visual loss, pain and redness in her left eye. Examination showed sectoral anterior episcleritis in her left eye as well as a dome-shaped choroidal mass at the inferior-temporal periphery, associated with retinal hemorrhages and subretinal fluid. Systemic evaluation and imaging of the choroidal mass were performed and could not rule out amelanotic choroidal melanoma. At the same time, she was prescribed a 2-week course of oral nonsteroidal anti-inflammatory drug (NSAID) for her sectoral anterior episcleritis. The choroidal mass was found to have resolved completely right before her scheduled fine needle biospy. Diagnosis of nodular posterior scleritis and a trial of oral NSAID can be considered in patients presenting with a choroidal mass before any invasive procedure.

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