Re: Fung et al.: Focal scleral nodule: a new name for solitary idiopathic choroiditis and unifocal helioid choroiditis (Ophthalmology. 2020;127:1567–1577)

We read the article by Fung et al. The authors have proposed that this entity should be called a “focal scleral nodule.” Fung et al have previously also suggested that the lesion has a component of scleral collagen based on the hyperautofluorescence of the lesion. We would like to reiterate comments from a recent article we authored earlier this year entitled, “Solitary idiopathic choroiditis’ or a tumor of scleral origin: A case report based hypothesis.” In this article, we suggested that this pathology is more likely to be a nodular mass of scleral origin based on the OCT, intense hyperreflectivity on infra-red imaging, and magnetic resonance imaging of the lesion. In our article, we were reluctant to call this entity a sequelae of posterior scleritis as suggested by Fung et al. We would like the authors to comment on this based on the current large series that they have published. We congratulate the authors on collating such a large series of cases (63 cases) of this rare entity.