0
Research Letter |

Sclerochoroidal Calcification Is Primarily a Scleral Condition Based on Enhanced Depth Imaging Optical Coherence Tomography

Adrian T. Fung, MBBS, MMed1; Juan D. Arias, MD1; Carol L. Shields, MD1; Jerry A. Shields, MD1
[+] Author Affiliations
1Ocular Oncology Service, Wills Eye Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
JAMA Ophthalmol. 2013;131(7):960-963. doi:10.1001/jamaophthalmol.2013.67.
Text Size: A A A
Published online

Extract

Sclerochoroidal calcification (SC) is found in elderly white individuals with calcium pyrophosphate deposition in the sclera and/or choroid, appearing as a typical yellow subretinal mass usually along the retinal vascular arcades.14 Most cases are idiopathic, but some have a systemic relationship.1,2 We review multimodal imaging findings of SC.

Figures in this Article

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Place holder to copy figure label and caption
Figure.
Findings in an 86-Year-Old Woman With Sclerochoroidal Calcification

A, Geographic yellow subretinal lesion underlies the superotemporal retinal vascular arcade. B, B-scan ultrasonography demonstrates an acoustically solid mass with shadowing and thickness of 1.7 mm. C, The lesion is hyperautofluorescent. D, Infrared reflectance imaging shows bright clumps. E, Enhanced depth imaging optical coherence tomography demonstrates an elevated scleral mass with a “rocky” surface (arrows). There is thinning of the overlying choroid and outer nuclear layer as well as absence of the external limiting membrane and inner segment–outer segment junction. Slight irregular thickening of the retinal pigment epithelium is present.

Graphic Jump Location

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs
JAMAevidence.com

The Rational Clinical Examination
Clinical Scenarios

The Rational Clinical Examination
Among Patients With Headaches, Who Should Have Neuroimaging?

brightcove.createExperiences();