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Are you aware of the diagnosis of the tumour removed from behind the eye?
Is it an ophthalmologist who has made the diagnosis of nodular scleritis now?
Yes Dr Louis Kruger
There can be many causes for nodular scleritis and more often from autoimmune diseases.
I guess the diagnosis has been made after a thorough work up of the eye. As you must be aware that more often than not, the underlying cause is an autoimmune condition( rheumatoid arthritis/wegener's granulomatosis/polyarteritis nodosa/gout/rosacea etc). The treatment can have varied results and the usual protocol followed in the treatment of nodular scleritis is- first line of treatment is NSAIDs or oral steroids( if severe). Oral prednisolone can be given in calculated divided doses( 1mg/kg/day in divided doses). If found to be responsive , maintainence can be done with NSAIDs. In those who do not tolerate steroids, immunosuppressants such as methotrexate can be given. But treatment of scleritis can be quite frustating as far as the results are concerned.
In those cases which show signs of severe scleral thinning or impending perforation, a scleral graft can be tried.
To summarise, nodular scleritis is curable provided the individual tolerates well to steroids or immunosuppressants. Many a times the treatment is discontinued due to severe side effects of steroids/immunosuppressants.
I hope this addresses your concerns.
Please feel free to ask follow up questions , if any.
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