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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.

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