[Juvenile rheumatoid arthritis and scleromalacia perforans]

A 13 year-old-boy with poliarticular seronegative juvenile rheumatoid arthritis (JRA) and bilateral scleromalacia perforans is described. Ocular lesions were thought to be seconadry to vasculitis. Improvement was obtained with systemic and local corticosteroid therapy, and with subconjunctival auto-graft of fascia lata. This is the first report in the literature about scleromalacia perforans in JRA.