Sclerochoroidal Calcification

The images above belong to a 54-year-old Caucasian male who complained of experiencing decreased vision. His visual acuity, however, was 20/20 in both eyes. His optical coherence tomography scans were both normal but fundus examination and fundus images reveal idiopathic sclerochoroidal calcification in both eyes (white arrows). Idiopathic sclerochoroidal calcification is a rare condition that is typically seen in older white patients. It is characterized by slightly elevated pale lesions that appear irregular in size. These lesions are usually bilateral and are typically located within the sclera and choroid. In most cases, lesions are usually found in the superotemporal midperiphery and are not a threat to vision. If an ultrasound was obtained, the lesions would show high reflectivity as they are areas where calcium salts have deposited. In this case, there was no need for intervention.