Bilateral Idiopathic Sclerochoroidal Calcifications



Venkatesh L. Brahma1, *, Sumit P. Shah1, Nauman A. Chaudhry2, Jonathan L. Prenner1
1 NJ Retina, Robert Wood Johnson Medical School, Rutgers RWJ – University Hospital, New Brunswick, NJ, USA
2 New England Retina Associates, PC, New London, CT, New York, USA


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© 2017 Brahma et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the NJ Retina, Robert Wood Johnson Medical School, Rutgers RWJ – University Hospital, New Brunswick, NJ, USA; Tel: 732-5892616; E-mail: vbrahma414@gmail.com


Abstract

Background:

Sclerochoroidal 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.

Objective:

To report and describe the findings in a case of bilateral idiopathic sclerochoroidal calcifications.

Methods:

A retrospective case report.

Results:

Repeated ophthalmological exams, including fundoscopic examination, ultrasonography, optical coherence tomography and fluorescein angiography, were all consistent bilateral idiopathic sclerochoroidal calcifications.

Conclusion:

While 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.

Keywords: Bilateral calcifications, Idiopathic calcifications, Sclerochoroidal calcifications, Bartter’s syndrome, Gitelman’s syndrome.