I have nodular scleritis since a year which doesnt go away inspite of taking corticosteroids with max dose 40 mg daily to the present 7.5mg daily dose along with methrotrexate 7.5mg twice a week since 3 months and prednisolone eye drops. all tests are cle

Complex: first I wish you recovery, this is a tough disease that needs aggressive management, which seems that you are undergoing, and to rule out as well systemic involvement, team approach in a specialized center/institution with other specialists as rheumatologist experienced with disease modifying drugs as biologicals and pulse steroids/immunosuppressants should be involved, wish you all the best