Bilateral Idiopathic Sclerochoroidal Calcifications

BACKGROUNDSclerochoroidal calcification (SCC) is a rare and benign condition found mostly in middle-aged and elderly Caucasian men, characterized by multiple yellow-white lesions seen most commonly in the temporal regions of the fundus. While they may be concerning for benign tumors, primary neoplas...

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Bibliographic Details
Published in:The open ophthalmology journal 2017, Vol.11, p.76-79
Main Authors: Brahma, Venkatesh L, Shah, Sumit P, Chaudhry, Nauman A, Prenner, Jonathan L
Format: Report
Language:English
Online Access:Get full text
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Summary:BACKGROUNDSclerochoroidal calcification (SCC) is a rare and benign condition found mostly in middle-aged and elderly Caucasian men, characterized by multiple yellow-white lesions seen most commonly in the temporal regions of the fundus. While they may be concerning for benign tumors, primary neoplasias or metastases, SCCs most commonly present as asymptomatic findings during routine ophthalmologic testing and have a very good prognosis as they rarely cause visual deficits. OBJECTIVETo report and describe the findings in a case of bilateral idiopathic sclerochoroidal calcifications. METHODSA retrospective case report. RESULTSRepeated ophthalmological exams, including fundoscopic examination, ultrasonography, optical coherence tomography and fluorescein angiography, were all consistent bilateral idiopathic sclerochoroidal calcifications. CONCLUSIONWhile most cases of idiopathic sclerochoroidal calcifications represent a benign ophthalmological condition, there are known associations with other systemic conditions, such as hyperthyroidism, hyperparathyroidism, Bartter's syndrome and Gitelman's syndrome. It is for this reason that these patients warrant a full systemic work-up in addition to careful ophthalmological monitoring.
ISSN:1874-3641
1874-3641
DOI:10.2174/1874364101711010076