Case report: Scleromalacia caused by rheumatoid arthritis combined with high intraocular pressure, first discovered due to ocular trauma
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...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2024.1504807/full |
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| author | Yanyan Zhang Yanyan Wang Ruihao Xu Tianyu Wang Yuhao Zhang Jinghai Mao Quanyong Yi |
| author_facet | Yanyan Zhang Yanyan Wang Ruihao Xu Tianyu Wang Yuhao Zhang Jinghai Mao Quanyong Yi |
| author_sort | Yanyan Zhang |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-e8ef3118ae1f4567b5c400e3a986abbf |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-e8ef3118ae1f4567b5c400e3a986abbf2025-01-30T16:23:48ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011110.3389/fmed.2024.15048071504807Case report: Scleromalacia caused by rheumatoid arthritis combined with high intraocular pressure, first discovered due to ocular traumaYanyan Zhang0Yanyan Wang1Ruihao Xu2Tianyu Wang3Yuhao Zhang4Jinghai Mao5Quanyong Yi6Ningbo Eye Hospital, Wenzhou Medical University, Ningbo, Zhejiang, ChinaNingbo Eye Hospital, Wenzhou Medical University, Ningbo, Zhejiang, ChinaNingbo Eye Hospital, Wenzhou Medical University, Ningbo, Zhejiang, ChinaNingbo Eye Hospital, Wenzhou Medical University, Ningbo, Zhejiang, ChinaThe First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, ChinaNingbo Eye Hospital, Wenzhou Medical University, Ningbo, Zhejiang, ChinaNingbo Eye Hospital, Wenzhou Medical University, Ningbo, Zhejiang, ChinaA 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.https://www.frontiersin.org/articles/10.3389/fmed.2024.1504807/fullbluish sclerascleromalaciarheumatoid arthritisocular traumaocular hypertension |
| spellingShingle | Yanyan Zhang Yanyan Wang Ruihao Xu Tianyu Wang Yuhao Zhang Jinghai Mao Quanyong Yi Case report: Scleromalacia caused by rheumatoid arthritis combined with high intraocular pressure, first discovered due to ocular trauma Frontiers in Medicine bluish sclera scleromalacia rheumatoid arthritis ocular trauma ocular hypertension |
| title | Case report: Scleromalacia caused by rheumatoid arthritis combined with high intraocular pressure, first discovered due to ocular trauma |
| title_full | Case report: Scleromalacia caused by rheumatoid arthritis combined with high intraocular pressure, first discovered due to ocular trauma |
| title_fullStr | Case report: Scleromalacia caused by rheumatoid arthritis combined with high intraocular pressure, first discovered due to ocular trauma |
| title_full_unstemmed | Case report: Scleromalacia caused by rheumatoid arthritis combined with high intraocular pressure, first discovered due to ocular trauma |
| title_short | Case report: Scleromalacia caused by rheumatoid arthritis combined with high intraocular pressure, first discovered due to ocular trauma |
| title_sort | case report scleromalacia caused by rheumatoid arthritis combined with high intraocular pressure first discovered due to ocular trauma |
| topic | bluish sclera scleromalacia rheumatoid arthritis ocular trauma ocular hypertension |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2024.1504807/full |
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