Author(s): Yohannan J, Channa R, Dibernardo CW, Zimmer-Galler IE, Ibrahim M, Sepah YJ, Bittencourt M, Do DV, Nguyen QD. Sclerochoroidal calcifications imaged using enhanced depth imaging optical coherence tomography. Ocul Immunol Inflamm. 2012 Jun;20(3):190-2. doi: 10.3109/09273948.2012.670358. Epub 2012 Apr 9. PMID 22486261
Journal: Ocular Immunology And Inflammation, Volume 20, Issue 3, Jun 2012
PURPOSE To report a case of sclerochoroidal calcifications and describe the appearance of these lesions using optical coherence tomography with enhanced depth imaging (EDI-OCT) technology.
DESIGN Case Report
METHODS An 85-year-old patient who presented with bilateral retinal lesions suspected to be metastases was evaluated with slit-lamp biomicroscopy, funduscopy, fluorescein angiography, B-scan ultrasonography (U/S), and EDI-OCT.
RESULTS B-scan U/S demonstrated echo-dense consolidations in the choroid bilaterally with acoustic shadowing consistent with sclerochoroidal calcifications. EDI-OCT revealed hyper-reflective lesions with decreased reflectivity posterior to the lesion.
CONCLUSIONS Sclerochoroidal calcifications should be included in the differential of choroidal masses, given their unique appearance on EDI-OCT.