April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
Not-So-Benign Scleral Plaques: A Case Series
Author Affiliations & Notes
  • Jing Jing Feng
    Ophthalmlogy, North Shore-LIJ Health System, Great Neck, NY
  • Christina Giannikas
    Ophthalmlogy, North Shore-LIJ Health System, Great Neck, NY
  • Carolyn Shih
    Ophthalmlogy, North Shore-LIJ Health System, Great Neck, NY
  • John Seedor
    New York Eye and Ear Infiirmary, New York, NY
  • Tatyana Milman
    New York Eye and Ear Infiirmary, New York, NY
  • Ira J Udell
    Ophthalmlogy, North Shore-LIJ Health System, Great Neck, NY
  • Footnotes
    Commercial Relationships Jing Jing Feng, None; Christina Giannikas, None; Carolyn Shih, None; John Seedor, None; Tatyana Milman, None; Ira Udell, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 3144. doi:
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      Jing Jing Feng, Christina Giannikas, Carolyn Shih, John Seedor, Tatyana Milman, Ira J Udell; Not-So-Benign Scleral Plaques: A Case Series. Invest. Ophthalmol. Vis. Sci. 2014;55(13):3144.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: To investigate the clinical course, management, and outcomes of patients with inflamed senile scleral plaques (SSP).

Methods: Retrospective chart review of cases of inflamed SSP with progressive scleromalacia. Histopathology of surgical specimens was examined.

Results: 2 patients had non-rheumatic autoimmune sclerouveitis, 1 had infectious bacterial keratoscleritis, 1 had severe ocular surface disease, and 1 had giant papillary conjunctivitis. 4/5 patients required plaque excision to stabilize the sclera, 3/4 surgical specimens revealed an inflammatory cellular infiltrate, and 3/4 patients stabilized following surgery.

Conclusions: Inflamed senile scleral plaques may not have a benign course. In patients with autoimmune, infectious, or ocular surface disease, senile scleral plaques may serve as loci of progressive scleromalacia and require surgical intervention for definitive management.

Keywords: 479 cornea: clinical science • 708 sclera  
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