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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.
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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.

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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.

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