Nodular posterior scleritis with recurrence in contralateral eye – case report

Posterior scleritis is a rare, in 80% idiopathic disorder. It can be divided into 2 subtypes: diffuse and nodular. The aim of this study is to report clinical, imaging findings, differential diagnosis and treatment, of a patient with nodular posterior scleritis. A 45-year-old woman was diagnosed as recurrence of nodular posterior scleritis, after extensive examination. At admission best corrected visual acuity was 20/20 in her left eye. Fundus examination revealed an amelanotic yellowish subretinal mass under the superior nasal arcade, associated with subretinal fluid surrounding it. B-scan ultrasonography, optical coherence tomography findings confirmed the diagnosis. The patient was treated with intraveonous steroids for 3 days, followed by oral in tapered dose over 3 weeks. After 7 weeks follow-up subretinal mass totally regressed. The diagnosis of nodular posterior scleritis may provide diagnostic dilemma. Multimodal imaging may be helpful in differential diagnosis. Majority of cases have an excellent prognosis with no recurrence.