Resumo

SIGLER VILLANUEVA, Aldo A; DUARTE VILARINO, Adoración; DELGADO MOYA, Raquel  e  SIGLER MORALES, Jéssica G.. Pathological alterations in necrotizing nodular anterior scleritis. Rev Cubana Oftalmol [online]. 2019, vol.32, n.2  Epub 30-Set-2019. ISSN 1561-3070.

The presence of necrotizing scleritis is rare; it needs a diagnosis and an opportune treatment, since its course is fast, severe and destructive of the integrity of the eyeball. We present a 43-year-old patient who required ophthalmological attention when presenting the red right eye with intense pain. Three nodules were found in the antero-inferior scleral region. Fine needle aspiration was performed on the scleral nodules and a fragment of one of them was obtained for the histological section. In both samples, inflammatory infiltrate of lymphocytes and neutrophils with some plasma cells was observed. He was prescribed treatment with oral prednisone (0.5 mg /kg/day), prednisolone eye drops and azathioprine at a dose of 1.5 mg/kg/day. The evolution to the month was satisfactory with gradual improvement of the lesions. The treatment was maintained for 3 months with repeated blood tests. Drug doses were subsequently reduced until their elimination at 6 months. The healing of the injuries was total. No systemic disease was found during the clinical check-up.

Palavras-chave : Necrotizing scleritis; nodular scleritis; puncture aspiration with fine needle.

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