title: [Evolution of nodular scleritis with ultrasound biomicroscopy: case report].
abstract: To establish evolutionary pattern of a case of nodular scleritis with high frequency ultrasound during treatment. Twenty-seven year old female, initial manifestation of intermediate uveitis, bilateral macular edema after clinical treatment with topical and oral steroids. After four months, we observed the formation of a scleral nodule in the right eye when patient underwent high frequency ultrasound (Paradigm, 50 MHz transducer, immersion technique). The lesion in right eye was characterized at high frequency ultrasound as a nodular lesion located at the anterior inferior temporal wall associated with localized reduction of scleral thickness. After intravitreal injection of triamcinolone for treatment of macular edema, clinical regression of the scleral nodule was observed in right eye, maintaining reduced scleral thickness. High frequency ultrasound assisted in the diagnosis of nodular scleritis during the phases of treatment and in the identify its characteristic sequel feature, the scleral thinning.
authors: Andrea Alejandra Gonzalez
authors: AA
authors: Martinez
authors: Kimble Teixeira Fonseca
authors: KT
authors: Matos
authors: Virgínia
authors: V
authors: Trevisani
authors: Alcides
authors: A
authors: Hirai
authors: Norma
authors: N
authors: Allemann
mesh_terms: D000328:Adult; D018450:Disease Progression; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D058449:Intravitreal Injections; D008269:Macular Edema / Q000000981:diagnostic imaging / Q000188:drug therapy; D033401:Microscopy, Acoustic / Q000379:methods*; D015423:Scleritis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D016896:Treatment Outcome; D014221:Triamcinolone / Q000627:therapeutic use; D015867:Uveitis, Intermediate / Q000000981:diagnostic imaging / Q000188:drug therapy
chemical_list: D005938:Glucocorticoids; D014221:Triamcinolone