title: A case of nodular posterior scleritis mimicking choroidal mass.
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.
authors.affiliation: Beyoğlu Eye Research and Training Hospital, Beyoğlu, İstanbul, Turkey.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Ozkaya
authors.affiliation: Beyoğlu Eye Research and Training Hospital, Beyoğlu, İstanbul, Turkey.
authors.forename: Cengiz
authors.initials: C
authors.lastname: Alagoz
authors.affiliation: Beyoğlu Eye Research and Training Hospital, Beyoğlu, İstanbul, Turkey.
authors.forename: Alperen
authors.initials: A
authors.lastname: Koc
authors.affiliation: Istanbul University, School of Medicine, Department of Endocrinology, İstanbul, Turkey.
authors.forename: Hande Mefkure
authors.initials: HM
authors.lastname: Ozkaya
authors.affiliation: Beyoğlu Eye Research and Training Hospital, Beyoğlu, İstanbul, Turkey.
authors.forename: Ahmet Taylan
authors.initials: AT
authors.lastname: Yazıcı
keywords: Choroidal mass; Scleritis; Subretinal fluid