Embedded Episcleral Foreign Body Mimicking Nodular Anterior Scleritis.

Zeynep Özbek, Banu Lebe, Mustafa Kayabaşı, Ali Osman Saatci

Turkish journal of ophthalmology 2024 Feb 22

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A 56-year-old man was referred to our clinic for unilateral nodular scleritis unresponsive to systemic corticosteroids. A localized, nodular hyperemia on the nasal bulbar conjunctiva surrounding a central cyst-like lesion together with vascular engorgement was observed on slit-lamp examination of the left eye. No abnormal fundoscopic findings were noted. Surgical exploration revealed an embedded episcleral brown colored, soft to touch, splinter-like organic foreign body (FB) which was confirmed by the histopathological examination. Nodular hyperemia resolved during the postoperative follow-up period, and mild scar tissue accompanied by scleral thinning developed in the left nasal bulbar conjunctiva. Ocular injury associated with FBs may cause significant ocular morbidity depending on the nature and location of the FB. Severe visual disability may occur if left untreated. Subconjunctival FBs are rare and may present with a clinical picture mimicking episcleritis or scleritis. History of trauma involving a FB should always be assessed for an accurate differential diagnosis and appropriate management of patients with anterior scleritis. ©Copyright 2024 by the Turkish Ophthalmological Association / Turkish Journal of Ophthalmology published by Galenos Publishing House.

Citation

Zeynep Özbek, Banu Lebe, Mustafa Kayabaşı, Ali Osman Saatci. Embedded Episcleral Foreign Body Mimicking Nodular Anterior Scleritis. Turkish journal of ophthalmology. 2024 Feb 22;54(1):46-48