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Bilateral Idiopathic Sclerochoroidal Calcification: A Case Report.
Boutayna Azarkan1, Hamza Lazaar2, Zineb Hilali2
1Ophtalmology A, Hopital des Specialités, CHU (Le Centre Hospitalo-Universitaire) Ibn Sina, Rabat, MAR.
Cureus
|April 28, 2025
Summary
Sclerochoroidal calcification (SCC) is a rare condition of calcium deposits in the eye. This case highlights an incidental finding of idiopathic SCC, emphasizing its typically benign nature and the need to rule out secondary causes.
Area of Science:
- Ophthalmology
- Medical Imaging
- Pathology
Background:
- Sclerochoroidal calcification (SCC) is a rare condition involving calcium pyrophosphate deposition in the sclera and choroid.
- It typically affects elderly Caucasians and can be idiopathic or secondary to systemic diseases like hyperparathyroidism or renal disease.
Observation:
- An 80-year-old patient presented with incidentally discovered bilateral idiopathic SCC.
- Fundus examination revealed yellowish choroidal lesions, confirmed by autofluorescence and OCT as elevated sclerochoroidal plaques.
- The patient had a history of diabetes, hypertension, and cataract surgery, but no high myopia or uveitis.
Findings:
- Systemic and laboratory evaluations excluded metabolic or renal abnormalities, confirming the idiopathic nature of the SCC.
- The patient was asymptomatic, and no treatment was necessary.
Implications:
- This case emphasizes considering SCC in the differential diagnosis of elevated choroidal lesions.
- Thorough systemic evaluation is crucial to exclude secondary causes of SCC.
- Idiopathic SCC generally has a benign prognosis.
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