International Medical Case Reports Journal (Oct 2021)
A Case of Extensive Bilateral Idiopathic Sclerochoroidal Calcification and Review of Literature
Abstract
Andrew C Thomson,1 Gordon T Brown,2 Angel Dolores-Rodriguez,3 Allan A Hunter2 1McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX, USA; 2Oregon Eye Consultants LLC, Eugene, OR, USA; 3Alameda Health System-Highland Hospital, Oakland, CA, USACorrespondence: Andrew C Thomson 3783 International Ct Suite 290, Springfield, OR, 97477, USATel +1 541 687 1927 ext 5765Fax +1 541 683 8779Email [email protected]: A 62-year-old Caucasian male was referred to retina for choroiditis and uveitis. Multiple areas of yellow irregularities were noted on fundus exam throughout the periphery of both eyes, corresponding to lesions at the sclerochoroidal junction on OCT. A diagnosis of sclerochoroidal calcifications (SCC) was confirmed by B-ultrasonography, fundus photography, OCT imaging, and fluorescein and indocyanine green angiography. Systemic metabolic studies were performed, which showed reduced renal function with increased serum calcium; however, SCC lesions in this case were most likely idiopathic. In this work, we report the clinical findings, appearance on multimodal imaging, and systemic associations of sclerochoroidal calcification. Sclerochoroidal calcifications are an unusual clinical finding that tends to be idiopathic, but a focused workup and specialist referral may be warranted to exclude systemic conditions associated with abnormal calcium-phosphate metabolism or hypokalemic metabolic alkalosis syndromes.Keywords: case report, literature review, multimodal imaging, sclerochoroidal calcification, systemic associations
