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Type presentatieE-poster
TitelSenile Scleromalacia: A Not So Benign Condition?
DoelTo present a rare case of severe senile scleromalacia and to discuss its diagnosis, management and outcome.
MethodesA 78-year-old male presented with bilateral scleral plaques. The outcome of conservative and surgical management is described.
ResultatenSlit-lamp examination revealed sharply defined scleral plaques with calcification, conjunctival erosion, and thinned underlying sclera. Exclusion of rheumatological and paraneoplastic origins led to a diagnosis of senile scleromalacia. Initial conservative treatments with autologous serum and antibiotic drops were unsuccessful, necessitating surgery. Surgical excision of plaques revealed extremely thin sclera in some areas, with one area showing absence of underlying sclera and exposed uveal tissue. Reconstruction using a donor scleral patch combined with and an autologous conjunctival flap was successful. Histopathology confirmed calcifying plaques.
ConclusieThis case illustrates that senile scleromalacia, typically considered a benign condition, can lead to significant complications such as exposed uveal tissue and risk of scleral perforation. Early surgical intervention may be necessary in these severe cases to prevent vision-threatening complications.
BelangenverstrengelingNee
Details verstrengelde belangen/
Auteurs 1
NaamBOURDEAUD'HUY
InitialenL
InstituutDepartment of Ophthalmology, Ghent University Hospital, Belgium
StadGhent
Auteurs 2
NaamCordier
InitialenF
InstituutDpt of Pathological Anatomy, Ghent University Hospital, Belgium
StadGhent
Auteurs 3
NaamVan Dorpe
InitialenJ
InstituutDpt of Pathological Anatomy, Ghent University Hospital, Belgium
StadGhent
Auteurs 4
NaamRoels
InitialenD
InstituutDepartment of Ophthalmology, Ghent University Hospital, Belgium
StadGhent
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