DR. RAHUL LOKHANDE

DR. RASHMI SHUKLA, DR.DR. NISHEETA S. AGARWALA, DR. SAVARI DESAI

Abstract

A 50 years old female on hemodialysis for chronic renal failure with history of right eye recurrent nodular episcleritis partially responding to steroids presented to us with right eye nodular scleritis revealed to be scleral abscess on ultrasound bio-microscopy and microbiologically proven as rapid growing non-tubercular (M.chelonae) mycobacterial scleral abscess. Local and systemic predisposing factors for such a presentation, it’s diagnosis, and treatment methods will be discussed . Also difficulties pertaining to systemic and local drug toxicity will be described.Conclusion – There should be high index of suspicion for infectious etiology in case of nodular scleritis/episcleritis patients with an immunocompromised/immune suppressed state,despite the absence of local inciting factors.