BILATERAL CHOROIDAL EXCAVATION IN JUVENILE LOCALIZED SCLERODERMA.

Area of Science:

• Ophthalmology
• Dermatology
• Pediatrics

Background:

• Localized scleroderma is a connective tissue disease with rare ocular manifestations.
• Previous reports predominantly noted anterior segment and adnexal involvement.

Observation:

• A 12-year-old boy with juvenile localized scleroderma presented asymptomatically.
• Ophthalmic examination revealed bilateral choroidal excavations.

Findings:

• The choroidal excavations were located temporal to the fovea in both eyes.
• This represents the second reported instance of choroidal changes in localized scleroderma.

Implications:

• This case is the first to document choroidal excavation in a pediatric patient with localized scleroderma.
• It underscores the importance of thorough ophthalmological evaluation for detecting posterior segment complications in juvenile localized scleroderma.