Abstract

PEREZ-CAMPAGNE, E. et al. Giant nodular posterior scleritis compatible with ocular sarcoidosis simulating choroidal melanoma. Arch Soc Esp Oftalmol [online]. 2007, vol.82, n.9, pp.563-566. ISSN 0365-6691.

Case report: A 30-year-old man was referred to our ocular oncology service with a diagnosis of amelanotic choroidal melanoma of the left eye. The following tests were performed: ophthalmoscopy, fluorescein angiography, indocyanine green angiography, ultrasonography, magnetic resonance imaging and biopsy. Discussion: The diagnosis of giant nodular posterior scleritis, as suggested by ultrasonography, was confirmed by biopsy. A comprehensive medical evaluation was performed, but no etiology was found. The histology revealed a granuloma compatible with ocular sarcoidosis. A rapid response was obtained by systemic steroid administration (1 mg/kg). Sarcoidosis continues to be a challenge in diagnosis. It is important to distinguish nodular posterior scleritis from choroidal melanoma.

Keywords : Scleritis; eye neoplasms; uveal neoplasms; choroid neoplasms; sarcoidosis; choroidal melanoma.

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