Sclerochoroidal calcification as casual finding

Area of Science:

• Ophthalmology
• Medical Imaging

Background:

• Sclerochoroidal calcification (SCC) is an uncommon, benign condition.
• Typically presents as yellow-white retinal lesions in the upper temporal quadrant.
• Often discovered incidentally during routine eye examinations in middle-aged to elderly men.

Observation:

• A 79-year-old male with pseudoexfoliative glaucoma presented with bilateral subretinal white-yellow lesions.
• Diagnostic workup included autofluorescence, OCT, ultrasound, ocular CT, and laboratory analysis.
• Idiopathic SCC was diagnosed after thorough investigation.

Findings:

• The patient exhibited characteristic lesions of sclerochoroidal calcification.
• Comprehensive ophthalmological and systemic studies were crucial for diagnosis.
• No associated endocrine diseases were identified in this case.

Implications:

• SCC necessitates a thorough ophthalmological and systemic workup to exclude associated endocrine disorders.
• Regular follow-up is recommended to monitor for complications like RPE atrophy or neovascularization.
• Accurate differential diagnosis between benign SCC and malignant lesions is vital to prevent unwarranted treatments.