Nodular sclerochoroidopathy simulating choroidal malignancy

Ophthalmic Surg Lasers Imaging. 2010 Aug 30:41 Online:e1-5. doi: 10.3928/15428877-20100830-06.

Abstract

A 55-year-old man who had multiple subretinal and choroidal yellowish lesions and episcleral nodules for 1.5 years was diagnosed as having nodular sclerochoroidopathy after developing classic features of posterior scleritis with choroidal and serous retinal detachment. Long-term therapy with steroids in combination with mycophenolate mofetil resulted in regressed posterior scleritis and nodular lesions, as well as improved visual acuity. Nodular sclerochoroidopathy should be suspected in patients with subretinal and choroidal lesions and should be distinguished from choroidal neoplasm.

Publication types

  • Case Reports

MeSH terms

  • Choroid Diseases / diagnosis*
  • Choroid Diseases / drug therapy
  • Choroid Diseases / physiopathology
  • Choroid Neoplasms / diagnosis*
  • Diagnosis, Differential
  • Drug Administration Schedule
  • Fluorescein Angiography
  • Fundus Oculi
  • Humans
  • Male
  • Middle Aged
  • Mycophenolic Acid / administration & dosage
  • Mycophenolic Acid / analogs & derivatives
  • Scleral Diseases / diagnosis*
  • Scleral Diseases / drug therapy
  • Scleral Diseases / physiopathology
  • Steroids / administration & dosage
  • Tomography, Optical Coherence
  • Ultrasonography
  • Visual Acuity

Substances

  • Steroids
  • Mycophenolic Acid