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Nodular scleritis following alendronate therapy
1Eye Center and the Eye Foundation for Research in Ophthalmology, Riyadh, Saudi Arabia. k.tabbara@nesma.net.sa
Purpose:
To report a case of nodular scleritis following alendronate sodium.
Methods:
A 54 year-old male was treated with alendronate sodium 70 mg orally once per week. Eight weeks later, he experienced pain and redness of the right eye. Biomicroscopy was performed.
Results:
Patient was found to have inferonasal nodular scleritis. Laboratory work-up was unrevealing. Patient was given 4 mg of subtenon's triamcinolone acetate in the area of the nodular scleritis and had complete resolution. Two weeks following rechallenge with alendronate sodium resulted in recurrence of his scleritis.
Conclusion:
Alendronate led to nodular scleritis and rechallenge caused recurrence of scleritis.