[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
Views 667
Citations 0
JAMA Ophthalmology Clinical Challenge
April 22, 2021

Progressive Scleral Thinning in a Middle-aged Woman

Author Affiliations
  • 1Bascom Palmer Eye Institute, Miami, Florida
JAMA Ophthalmol. Published online April 22, 2021. doi:10.1001/jamaophthalmol.2020.5287

A 50-year-old woman presented with left eye redness and headaches for 2 months. Results from a previous computed tomographic scan of the head were unremarkable. She denied ocular disease, trauma, or surgery. She had no medical problems aside from chronic back pain due to a herniated disc.

Her best-corrected visual acuity was 20/20 OD and 20/25 OS. Intraocular pressure, extraocular motility, and pupillary examination results were normal. The right eye was unremarkable. Examination of the left eye showed 2 temporal scleral nodules with surrounding hyperemia and no scleromalacia. She experienced substantial pain with palpation. Posterior examination results were unremarkable.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words