Nodular posterior scleritis with associated choroiditis masquerading as a choroidal tumour- A Case Report Authors Muhammad Amer Awan Department of Ophthalmology, Shifa International Hospital, Islamabad, Pakistan Fatima Mohsin Department of Ophthalmology, Shifa International Hospital, Islamabad, Pakistan Abdullah Ahmed Fourth Year MBBS Student, Allama Iqbal Medical College, Lahore, Pakistan Muhammad Suhail Sarwar Department of Ophthalmology, Suhail Oculab Hospital, Lahore, Pakistan Tahir Hashmi Department of Rheumatology, Shifa International Hospital, Islamabad, Pakistan DOI: https://doi.org/10.47391/JPMA.7895 Keywords: Posterior scleritis, Choroiditis, Choroidal mass, Methotrexate Abstract We report a case of nodular posterior scleritis in a 25-year-old male who presented with a 14-day history of unilateral decline in vision, pain, and redness in his right eye. Slit lamp examination of the right eye revealed dilated episcleral vessels present nasally as well as a choroidal mass at the nasal periphery of the fundus, associated with choroidal oedema. Systemic evaluation and imaging of the choroidal mass were performed to rule out choroidal tuberculoma and choroidal metastasis. Ultrasound B-scan of the right eye showed marked thickening of the nasal sclera resulting in sympathetic choroidal oedema without the characteristic T-sign. Nodular posterior scleritis with associated choroiditis, was diagnosed without any underlying systemic illness. The patient was immediately started on systemic steroids and later on subcutaneous Methotrexate as advised by the rheumatologist, to which he responded well and his vision significantly improved from 6/60 to 6/9, gradually during his treatment course. Author Biographies Muhammad Amer Awan, Department of Ophthalmology, Shifa International Hospital, Islamabad, Pakistan Consultant Ophthalmologist Fatima Mohsin, Department of Ophthalmology, Shifa International Hospital, Islamabad, Pakistan 2nd year Resident Ophthalmology Abdullah Ahmed, Fourth Year MBBS Student, Allama Iqbal Medical College, Lahore, Pakistan Fourth year medical student Tahir Hashmi, Department of Rheumatology, Shifa International Hospital, Islamabad, Pakistan Consultant Ophthalmologist Downloads Full Text Article Published 2023-08-15 How to Cite Muhammad Amer Awan, Mohsin, F., Abdullah Ahmed, Muhammad Suhail Sarwar, & Tahir Hashmi. (2023). Nodular posterior scleritis with associated choroiditis masquerading as a choroidal tumour- A Case Report. Journal of the Pakistan Medical Association, 73(9), 1903–1905. https://doi.org/10.47391/JPMA.7895 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 73 No. 9 (2023): SEPTEMBER Section CASE REPORT License Copyright (c) 2023 Journal of the Pakistan Medical Association This work is licensed under a Creative Commons Attribution 4.0 International License.