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Idiopathic sclerochoroidal calcification.

Claire M Wong¹, Brian S Kawasaki

¹*OD †OD, MBA, FAAO VA Southern Nevada Healthcare System (CMW), North Las Vegas, Nevada; Southern California College of Optometry (CMW, BSK), Fullerton, California; and Illinois College of Optometry (BSK), Chicago, Illinois.

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|November 19, 2013

Summary

This summary is machine-generated.

Idiopathic sclerochoroidal calcification presents as rare fundus lesions. Early diagnosis and monitoring are key, as visual prognosis is generally good with annual dilated examinations.

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Area of Science:

Ophthalmology
Medical Imaging
Pathology

Background:

Sclerochoroidal calcification is a rare condition with unclear pathogenesis.
It manifests as multifocal, yellow-white elevated fundus lesions, often superotemporal.
Potential vision-threatening complications include choroidal neovascularization and serous retinal detachment.

Observation:

A 72-year-old male presented with bilateral, pale yellow, elevated superotemporal fundus lesions.
Ultrasonography revealed posterior retinal hyper-reflectivity.
Optical coherence tomography confirmed intact overlying retina with choroidal lesions.

Findings:

Systemic evaluation excluded dystrophic and metastatic calcification.
The patient was diagnosed with idiopathic sclerochoroidal calcification.
Idiopathic sclerochoroidal calcification requires distinction from other conditions to avoid unnecessary interventions.

Implications:

Systemic evaluation for calcification is crucial to rule out underlying diseases.
Annual dilated examinations are recommended for idiopathic cases to monitor fundus lesions.
Good visual prognosis is expected due to typical peripheral lesion location, sparing the macula.