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The Use of Multimodal Imaging in Detecting Focal Scleral Nodule
Askar K Alshaibani1, Asma Alzuabi2, Talal Waleed Aljudi1
1Department of Ophthalmology, Dhahran Eye Specialist Hospital, Dhahran, Saudi Arabia.
Annals of African Medicine
|February 8, 2026
Summary
Focal scleral nodules are rare, benign eye lesions. Multimodal imaging, including OCT, aids in diagnosing this condition, as demonstrated in a Saudi male patient.
Area of Science:
- Ophthalmology
- Medical Imaging
- Pathology
Background:
- Focal scleral nodule, previously termed unifocal helioid choroiditis, is a rare, benign scleral mass.
- Typically asymptomatic and found incidentally deep to the retina, it often presents near the optic nerve.
Purpose of the Study:
- To present a case study of a focal scleral nodule in a Saudi male patient.
- To highlight the diagnostic utility of multimodal imaging in identifying focal scleral nodules.
Main Methods:
- Case presentation of a 49-year-old Saudi male with a posterior pole lesion.
- Utilization of multimodal imaging: Optical Coherence Tomography (OCT), OCT angiography, and Indocyanine Green Angiography.
Main Results:
- The patient presented with a posterior pole lesion diagnosed as a focal scleral nodule.
- Multimodal imaging effectively localized and confirmed the diagnosis.
Conclusions:
- Focal scleral nodule diagnosis is significantly enhanced by multimodal imaging techniques.
- This case underscores the importance of advanced imaging in characterizing rare ocular conditions.
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