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Ophthalmology - Sclera
 
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Scleromalacia perforans

Scleromalacia perforans is a painless anterior necrotizing scleritis without inflammatory signs. The stereopicture shows a well-circumscribed conjunctival ulceration and severe thinning of the sclera which allows direct visualization of the choroid. This condition - associated with longstanding seropositive rheumatoid arthritis - rarely causes spontaneous perforation but traumatic perforation may easily occur. Treatment consists in preventing the progression of this disease by the use of systemic corticosteroids, non-steroidal anti-inflammatory drugs as well as methotrexate, azathioprine, cyclophosphamide, etc.

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Department of Ophthalmology of the University Erlangen-Nürnberg, Germany
Edited by A. Bergua MD
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