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[Sclerochoroidal calcification with subretinal membrane in a patient with high myopia]
1Hôpital Ophtalmique Jules Gonin, Lausanne, Switzerland. doris_zuercher@hotmail.com
Summary
Sclerochoroidal calcifications are benign but may associate with subretinal neovascular membranes. Angiography is recommended for diagnosis, as treatment for these membranes does not alter the good prognosis of calcifications.
Area of Science:
- Ophthalmology
- Medical Imaging
Background:
- Sclerochoroidal calcifications are rare, benign fundus lesions.
- Diagnosis typically relies on fundoscopy and echography.
- Investigate calcium and phosphate metabolism due to potential systemic associations.
Observation:
- A case of sclerochoroidal calcifications with a presumed subretinal neovascular membrane was observed.
- Fluorescein and indocyanine-green angiography revealed the neovascular membrane.
- The patient presented with classical features of sclerochoroidal calcifications.
Findings:
- Angiographic investigation is crucial for diagnosing associated subretinal neovascular membranes.
- Previous literature shows successful laser coagulation treatment for such membranes.
- No treatment was required in the current case or one prior, with no impact on prognosis.
Implications:
- Ophthalmic diagnostic protocols should include angiography for sclerochoroidal calcifications.
- Early detection of associated neovascularization is important.
- Sclerochoroidal calcifications generally have a favorable prognosis, irrespective of neovascular membrane management.