{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:02:45Z","timestamp":1787169765339,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","license":[{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Focal scleral nodule was first described in 1997 by Hong\n                    <jats:italic toggle=\"yes\">et al<\/jats:italic>\n                    . as a unifocal helioid choroiditis. However, based on multimodal imaging utilization, the disease was renamed as a focal scleral nodule by Fung\n                    <jats:italic toggle=\"yes\">et al<\/jats:italic>\n                    . in 2020. Focal scleral nodule is a rare, benign, asymptomatic mass commonly found deep to the retina during a routine retinal examination; it originates from the sclera and usually measures one disc diameter and presents near the optic nerve in Caucasian female patients. Even though it originates from the sclera, over 95% of focal scleral nodule patients show overlying choroidal thinning. In this article, we present a case of a 49-year-old Saudi male patient who was found to have a posterior pole lesion; the patient underwent multimodal imaging to help localize and diagnose the condition as a focal scleral nodule. In this article, we present the utilization of multimodal imaging modalities, including optical coherence tomography (OCT), OCT angiography, and indocyanine green angiography, in the diagnosis of focal scleral nodules.\n                  <\/jats:p>","DOI":"10.4103\/aam.aam_609_25","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T05:00:08Z","timestamp":1770613208000},"page":"S192-S195","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The Use of Multimodal Imaging in Detecting Focal Scleral Nodule"],"prefix":"10.4103","volume":"25","author":[{"given":"Askar K.","family":"Alshaibani","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Dhahran Eye Specialist Hospital, Dhahran, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asma","family":"Alzuabi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Talal Waleed","family":"Aljudi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Dhahran Eye Specialist Hospital, Dhahran, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,2,6]]},"reference":[{"key":"R1-20260819","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1001\/archopht.1997.01100160177006","article-title":"Unifocal helioid choroiditis","volume":"115","author":"Hong","year":"1997","journal-title":"Arch Ophthalmol"},{"key":"R2-20260819","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1001\/archopht.120.3.311","article-title":"Solitary idiopathic choroiditis: The Richard B. Weaver lecture","volume":"120","author":"Shields","year":"2002","journal-title":"Arch Ophthalmol"},{"key":"R3-20260819","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1016\/j.ophtha.2012.09.017","article-title":"Solitary idiopathic choroiditis: Findings on enhanced depth imaging optical coherence tomography in 10 cases","volume":"120","author":"Fung","year":"2013","journal-title":"Ophthalmology"},{"key":"R4-20260819","doi-asserted-by":"crossref","first-page":"1567","DOI":"10.1016\/j.ophtha.2020.04.018","article-title":"Focal scleral nodule: A new name for solitary idiopathic choroiditis and unifocal helioid choroiditis","volume":"127","author":"Fung","year":"2020","journal-title":"Ophthalmology"},{"key":"R5-20260819","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1111\/ceo.12440","article-title":"Coxsackie virus a possible missing link to unifocal helioid choroiditis?","volume":"43","author":"Goyal","year":"2015","journal-title":"Clin Exp Ophthalmol"},{"key":"R6-20260819","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1097\/ICB.0000000000000277","article-title":"Solitary idiopathic choroiditis in the setting of extensive animal exposure","volume":"10","author":"Kumar","year":"2016","journal-title":"Retin Cases Brief Rep"},{"key":"R7-20260819","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1016\/j.jcjo.2023.07.005","article-title":"Advances in multimodal imaging for diagnosis of pigmented ocular fundus lesions","volume":"59","author":"Verbeek","year":"2024","journal-title":"Can J Ophthalmol"},{"key":"R10-20260819","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1097\/ICB.0000000000001138","article-title":"Multimodal imaging of a choroidal nevus with caverns in the setting of pachychoroid disease","volume":"16","author":"Corvi","year":"2022","journal-title":"Retin Cases Brief Rep"},{"key":"R12-20260819","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1038\/s41433-022-02029-y","article-title":"Expanded spectrum of focal scleral nodule: Focal scleral nodules can be bifocal","volume":"37","author":"Park","year":"2023","journal-title":"Eye (Lond)"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_609_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:11:56Z","timestamp":1787166716000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_609_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,6]]},"references-count":9,"journal-issue":{"issue":"Suppl 1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_609_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,6]]},"assertion":[{"value":"2025-10-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}