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There has been shift in the etiological profile of optic atrophy. Whilst tumours are still an important cause of paediatric optic atrophy for an Australian population, perinatal events and neurodegenerative disease are becoming more significant.

To present a case of polypoidal choroidal vasculopathy secondary to sclerochoroidal calcification. Method: A single patient case report with multimodal imaging including color fundus, red free and autofluorescence photography, fluorescein and indocyanine green angiography, and optical coherence tomography. Results: Sclerochoroidal calcification was diagnosed clinically from bilateral retinal elevations and underlying subretinal yellow deposits. The presence of retinal hemorrhages was confirmed to be secondary to underlying polypoidal choroidal vasculopathy by optical coherence tomography and fundus angiography. Conclusion: Sclerochoroidal calcification may be complicated by polypoidal choroidal vasculopathy.

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