Nodular Scleritis Associated with Herpes Zoster Virus: An Infectious and Immune-Mediated Process

Figure 1

Clinical evolution of anterior nodular scleritis associated with varicella zoster virus. (a) Initial reddish scleral nodule with dilated vessels. (b) Clinical improvement with oral prednisolone 40 mg daily, less hyperemia, and flattening of the nodule. (c) Clinical resolution after methotrexate therapy; the underlying uveal tissue is visible through the thinned sclera giving it a blue-gray appearance.

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(b)

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