Idiopathic sclerochoroidal calcification
Contributor: Jesse Vislisel, MD
Photographer: Stefani Karakas, CRA
Sclerochoroidal calcification results from the deposition of calcium salts in the sclera and choroid which may be idiopathic, secondary to hypercalcemia, or associated with Gitelman or Bartter syndromes. The lesions are most commonly bilateral and located peripherally in the superotemporal quadrant, often along the arcades. They are frequently multiple. These features help to differentiate them from choroidal osteomas which are usually solitary, unilateral, juxtapapillary, and seen in younger adults.
Reference: Shields JA, Shields CL. CME review: sclerochoroidal calcification: the 2001 Harold Gifford Lecture. Retina. 2002 ;22(3):251-61.
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