Senile Scleral Plaque

• Normally occur in elderly people (after age 70).
• Previously regarded as a focal hyalinization of the sclera.

Clinical Features

• Symptoms: have no clinical significance
• Signs:
  • Bilateral, symmetric, sharply demarcated vertically ovoid, or sometimes rectangular zones of increased scleral translucency
  • Commonly situated just in front of the medial and lateral recti
  • It may undergo calcification and become opaque white