A case of significant refractive change in nodular posterior scleritis

Abstract

PurposeThe aim of this study is to report refractive change in a patient with nodular posterior scleritis.MethodsA 43‐year‐old woman visitied clinic with a complaint of near vision discomfort associated with ocular pain and conjunctival injection. Her past ocular history was myopia of both eye, refractive error was ‐1.00D and uncorrected visual acuity was 20/40.ResultsOn ocular examination, uncorrected visual acuity was 20/20 in her right eye. But, refrective error of right eye changed ‐1.00D to +0.25D. Fundus examination revealed an large submacular mass associated with subretinal fluid surrounding it. B‐scan ultrasonography, optical coherence tomography, fluorescein angiography, and indocyanine green angiography findings confirmed a nodular posterior scleritis. But, brain and orbit MRI was normal finding except posterior scleritis. 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, refractive error was changed +0.25D to ‐1.00D and subretinal mass totally regressed.ConclusionsIn case of severe nodular posterior scleritis, refractive error changes can appear at chief complain. So, In the case of refractive error change associated with ocular pain, nodular posterior scleritis should be evaluated.