Paralimbal scleromalacia. So-called spontaneous scleral intercalary perforation

A case of unilateral paralimbal scleromalacia (so-called spontaneous scleral intercalary perforation) is presented. The otherwise healthy patient was folowed over a period of more than 10 years. Two years before the condition was diagnosed, the patient had an attack of scleritis in the same eye. The disease was complicated by keratitis and resulted in an eye with light perception only. Scleral tissue from the defect was examined histologically.