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Evidence-based Homoeopathy: A case report of nodular episcleritis

Introduction: Nodular episcleritis (NE) is a variety of episcleritis characterised by inflammation of subconjunctival connective tissue leading to development of a localised raised congested nodule with mild pain and tenderness. It can last for weeks with a tendency to recur and is often considered as an allergic reaction to endogenous toxins. Conventional treatment includes the use of topical steroids and non-steroidal anti-inflammatory drugs which give a temporary relief. Case Summary: The case of a 62-year-old male patient suffering from NE in the right eye for 15 days not responding to conventional treatment is reported here. Homoeopathic Mercurius solubilis 30C prescribed on the basis of totality of symptoms resolved NE within a week with no recurrence for 1 year and 4 months. This case report with photographic evidence shows the effectiveness of Mercurius solubilis 30C in non-rheumatoid nodular episcleritis.