This patient presented with bilateral idiopathic sclerochoroidal calcification, a relatively uncommon and benign finding in the elderly population. These yellowish choroidal lesions are slightly lumpy and elevated, and usually appear in the mid superior/inferior temporal/nasal quadrants.
The lesions are highly reflective on B-scan ultrasonography and visible on CT. They require no treatment and are not associated with vision loss.
Learning Points:
Sclerochoroidal calcification may be associated with systemic hypercalcemic conditions such as hyperparathyroidism and pseudohypoparathyroidism. Shields et al. therefore recommended that all such patients be evaluated for underlying systemic calcium disorders (Retina 2015;35:547-554).
