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Idiopathic sclerochoroidal calcification.

Michael Kim¹, Debi Pian, Steven Ferrucci

¹VA Greater Los Angeles Healthcare System, West Los Angeles VA Medical Center, Los Angeles, California, USA.

Optometry (St. Louis, Mo.)

|September 18, 2004

Summary

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Idiopathic sclerochoroidal calcification (ISC) is a benign condition of calcium deposits in the eye, often found incidentally. Systemic evaluation is recommended to rule out underlying metabolic causes.

Area of Science:

Ophthalmology
Medical Imaging
Calcium Metabolism

Background:

Idiopathic sclerochoroidal calcification (ISC) involves calcium deposition in the sclera and choroid.
It typically affects older males asymptomatically, presenting as yellowish lesions in the fundus.
Diagnosis is often clinical, supported by ocular ultrasound and fluorescein angiography.

Observation:

An 85-year-old male presented with asymptomatic midperipheral yellowish-white deposits in both eyes.
Ocular ultrasound showed high reflectivity, indicative of calcium.
Fluorescein angiography revealed mild late-phase hyperfluorescence.

Findings:

Laboratory tests showed normal calcium and phosphorus metabolism.
The diagnosis of idiopathic sclerochoroidal calcification was confirmed.

Related Experiment Videos

The lesions were characterized as benign calcium deposits.

Implications:

ISC is a benign finding, often discovered during routine eye exams.
Systemic evaluation is crucial to exclude dystrophic or metastatic calcification.
Differential diagnoses include choroidal osteoma, melanoma, and metastatic carcinoma.