Giant nodular posterior scleritis simulating choroidal melanoma.
Indian J Ophthalmol
;
2006 Jun; 54(2): 120-2
Article
in English
| IMSEAR
| ID: sea-70188
ABSTRACT
A 45-year-old woman, complaining of sudden visual loss in the right eye (best-corrected visual acuity 17/200), was suspected of having a malignant melanoma of the choroid. Fundus examination revealed a massive pale-colored subretinal mass temporal to the fovea, with adjoining choroidal folds and exudative retinal detachment. Ultrasonography was suggestive of posterior scleritis. Systemic evaluation was unremarkable. The patient was treated with high-dose systemic corticosteroids. The mass lesion resolved completely, with visual recovery to 20/20. Posterior scleritis should be suspected when evaluating subretinal mass-lesions, even when large and without overt inflammation. Early treatment may improve the visual prognosis and avoid misdirected management, including enucleation.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Female
/
Humans
/
Methylprednisolone
/
Scleritis
/
Choroid Neoplasms
/
Follow-Up Studies
/
Diagnosis, Differential
/
Glucocorticoids
/
Melanoma
/
Middle Aged
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Language:
English
Journal:
Indian J Ophthalmol
Year:
2006
Type:
Article
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