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CASE REPORT article

Front. Med.
Sec. Ophthalmology
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1504807
This article is part of the Research Topic Imaging in the Diagnosis and Treatment of Eye Diseases View all 10 articles

Scleromalacia caused by rheumatoid arthritis combined with high intraocular pressure, first discovered due to ocular trauma Running head: A scleromalacia first discovered due to ocular trauma

Provisionally accepted
Yan-yan Zhang Yan-yan Zhang yanyan wang yanyan wang Ruihao Xu Ruihao Xu Tianyu Wang Tianyu Wang *jinghai mao jinghai mao *Quanyong Yi Quanyong Yi *
  • Ningbo Eye Hospital, Ningbo, Zhejiang Province, China

The final, formatted version of the article will be published soon.

    A 53-year-old man with rheumatoid arthritis was first diagnosed with scleromalacia at the ophthalmology clinic after experiencing ocular trauma. The patient presented with decreased vision and abnormalities were subsequently found in his other eye. An ophthalmologist performed emergency debridement and suturing surgery on the ruptured right eyeball, discovering that the sclera was thinned to only 1/5 to 1/3 of its normal thickness. After the operation, the ophthalmologist examined the patient's right eye and noted similar bluish scleral changes along with elevated intraocular pressure.In this case, we report a relatively rare instance of scleromalacia combined with ocular hypertension, which was definitively diagnosed following emergency ophthalmic surgery. The patient exhibited extremely thin and bluish sclera in both eyes. This case once again underscores the importance of clinicians paying close attention to the impact of systemic autoimmune diseases on ocular health.

    Keywords: Bluish sclera, Scleromalacia, Rheumatoid arthritis, ocular trauma, Ocular Hypertension

    Received: 01 Oct 2024; Accepted: 02 Dec 2024.

    Copyright: © 2024 Zhang, wang, Xu, Wang, mao and Yi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Tianyu Wang, Ningbo Eye Hospital, Ningbo, Zhejiang Province, China
    jinghai mao, Ningbo Eye Hospital, Ningbo, Zhejiang Province, China
    Quanyong Yi, Ningbo Eye Hospital, Ningbo, Zhejiang Province, China

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