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Ophthalmology and Visual Sciences

Idiopathic sclerochoroidal calcification

Idiopathic sclerochoroidal calcification

Category(ies): Retina, Vitreous
Contributor: Jesse Vislisel, MD
Photographer:Carol Chan (fig 1); Stefani Karakas, CRA (fig 2)

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.

OD fundus
Figure 1a. right eye
OD fundus
Figure 1b. left eye
OD echo
Figure 1c. right eye
OS echo
Figure 1d. left eye
OD alpha scan
Figure 1e. right eye

Sclerochoroidal calcification OD fundus
Figure 2a. right eye
Sclerochoroidal calcification OS fundus
Figure 2b. left eye
Reference:
  • Shields JA, Shields CL. CME review: sclerochoroidal calcification: the 2001 Harold Gifford Lecture. Retina. 2002 ;22(3):251-61.

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