Journal List > J Korean Ophthalmol Soc > v.54(4) > 1009660

Kim, Cho, and Choe: A Case of Bilateral Senile Scleral Hyaline Plaques

Abstract

Purpose

To report a case of bilateral scleral hyaline plaques in an elderly male patient. Scleral hyaline plaques are commonly noticed but rarely diagnosed. These are typical areas of hyalinization over the insertions of horizontal rectus muscle.

Case summary

A 75-year-old man presented to the hospital complaining of scleral color change. External examination of both eyes revealed oval, slate-gray lesions measuring approximately 3.5 mm in diameter, located just anterior to the insertion of the medial rectus muscle in both eyes. On anterior segment optical coherence tomography of the lesions, thinned sclera and plaque were observed. There was no change in the lesion on the 3-year follow-up visit.
J Korean Ophthalmol Soc 2013;54(4):671-674

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Figure 1.
(A) A photograph of the right eye. Slit-lamp examination reveals well-demarcated, greyish, flat, oval-shaped opacifications (black arrowhead). (B) A phtograph of the left eye. There is a brownish color change of conjunctiva located on the thinned sclera (triangle).
jkos-54-671f1.tif
Figure 2.
(A, B) Anterior segment Optical Coherence Tomography reveals thinned sclera (arrowheads) and a plaque (white arrow).
jkos-54-671f2.tif
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