UNIVERSITAS AIRLANGGA



Detail Article

Folia Medica Indonesiana

ISSN 0303-7932

Vol. 45 / No. 3 / Published : 2009-07

Order : 10, and page :228 - 231

Related with : Scholar   Yahoo!   Bing

Original Article :

Case report: nodular scleritis with pre-suspected retinoblastoma

Author :

  1. Reni Prastyani *1
  2. Hera Dwi Novita *2
  3. Moestidjab*3
  1. Department of Ophthalmology, Faculty of Medicine, Airlangga University Dr. Soetomo Hospital Surabaya Indonesia
  2. Department of Ophthalmology, Faculty of Medicine, Airlangga University Dr. Soetomo Hospital Surabaya Indonesia
  3. Department of Ophthalmology, Faculty of Medicine, Airlangga University Dr. Soetomo Hospital Surabaya Indonesia

Abstract :

Nodular scleritis may complicate to uveitis. As we know that retinoblastoma is the most common malignant ocular tumor in childhood and can mimic uveitis, so that to rule out the malignancies in children is necessary. Our objective is to report a difficult case of nodular scleritis and posterior uveitis in a child. The patient, a 4 years old boy, complained of red eye and loss of vision. From history revealed painful red eye, leukocoria and proptosis 3 weeks before admission. The patient has been visited to other eye hospital with presumed diagnosed was retinoblastoma. Examination found nodular scleritis and anterior uveitis with anterior synechiae and membrane in the pupil as the complications, and we found multiple dental carries. The USG showed vitreous opacity with echospike 60% and mass was suspected. From the immunology laboratory test found C3c was 114.9 mg/dL (N:90-180) and C4 was 15.5 mg/dL (N: 10-40), but sedimentation rate was increased. We treated with systemic and topical steroid and antibiotic, and performed serial ophthalmic ultrasound to evaluate the inflammation and the mass. After treated with systemic and topical steroid and antibiotic, result showed that the proptosis reduced gradually during two months observation and became phthisis. The nodular scleritis disappeared and the inflammation reduced. In conclusion, with the proper treatment and serial ophthalmic ultrasound give the advantage to save the eyeball in managing patient with nodular scleritis and posterior uveitis. Although blind or phthisical eyes are not at increased risk for malignancy, a tumor can occasionally be the cause of globe degeneration. Ultrasonography is useful in these eyes and planning a proper management.

Keyword :

Nodular scleritis, retinoblastoma, uveitis in child,


References :

Atta HR.,(1996) Ophthalmic Ultrasound. A Practical Giude Singapore : Churchill Livingstone

Rapuano CJ, Luchs JI, Kim T.,(2000) Antrior Segment. The Requisites in Ophthalmology. In Krachmer JH. Ed. USA : Mosby





Archive Article

Cover Media Content

Volume : 45 / No. : 3 / Pub. : 2009-07
  1. Comparison Of Apoptotic Index And The Amount Of Brain\'s Pyramidal Neuron Between Newborn Mice Receiving And Not Receiving Docosahexanoic Acid During Pregnancy
  2. Nucleotide Sequence And Sequence Comparison Of The Repeat Sequence 529 (r529) Of An Indonesian Toxoplasma Gondii Isolate
  3. Human Sperm Preservation Using Freeze-drying An Experimental Laboratory Study
  4. Correlation Between P53 Protein Expressions In The Incidence Of Metastasis In Well-differentiated Thyroid Cancer
  5. Hepatoprotective Activity Of Barks Extract Of Six Cinnamomum Species On Carbon Tetrachloride-induced In Albino Rats
  6. The Efficacy Of Combined Cream Bromelain - Liposome As Enzymatic Debriding Agent For Deep Burn Patients
  7. Determinant Of Social Maturity Level Among The Visitors Of Healthy Infants Clinic
  8. Humanity First, Technology Second. Reducing Infant Mortality Rate With Kangaroo Mother Care. Practical Evidence From South Africa
  9. Identification Of The Victims Of Km Senopati Nusantara Using Dna Profiling. A Case Report Of Disaster Victim Identification
  10. Case Report: Nodular Scleritis With Pre-suspected Retinoblastoma
  11. Acupuncture Therapy To Relieve Pain In Dextral Hypochondrial Area. A Case Study On Referred Pain
  12. Review Article And Clinical Experiences: A Novel Oad With Broadspeactrum Therapeutic Value For Pts With T2dm The Roles Of Galvus® For Pts With T2dm, Mody,txdm, Pre-dm, And T1dm

Information index.php/JIPK/FMI