This 77YO female presented with bilateral idiopathic sclerochoroidal calcification.
Learning Points:
Sclerochoroidal calcification is a relatively uncommon and benign finding in the elderly population. These yellowish 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. These lesions require no treatment and are not associated with vision loss.
However, they 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).
