Idiopathic sclerochoroidal calcification

Idiopathic sclerochoroidal calcifications: Case report, metabolic causes and differential diagnosis

“…Vitamin D levels of 16.41 ng /ml (lower cut-off point of 20 ng / ml) were observed. 1 Causes of precipitation of calcium salts in ocular structures (2,6) Figure 5: Indocyanine green angiography with late hyperfluorescence of the sclerochoroidal calcification dIscussIon Sclerochoroidal calcifications have been described in the literature as a rare process found in old patients. They have been misdiagnosed and treated as tumors in the past, (4) in fact the finding of idiopathic calcification was initially attributed in the literature to choroidal osteomas in older patients but were later recognized to be slcerochoroidal calcifications in 1991.…”

“…The deposition of calcium in ocular structures can lead to bone formation (ossification) or to calcium salts precipitation (calcification). (2,4,5) Choroid and scleral calcification can be classified as metastatic, dystrophic and idiopathic. There are multiple systemic causes related to abnormal calcium or phosphate metabolism disorders that can lead to sclerochoroidal calcifications, those that do not exist in these systemic associations are classified as idiopathic.…”

“…There are multiple systemic causes related to abnormal calcium or phosphate metabolism disorders that can lead to sclerochoroidal calcifications, those that do not exist in these systemic associations are classified as idiopathic. (2,7) (Table 1)…”

“…(1) with an average of two locations per eye. (2) They are usually a casual finding; visual disorders have rarely been described although they may be associated with choroidal neovascular membranes and neurosensory detachments. (3) Autofluorescence and the appearance of the lesion with ultrasound and tomography are useful for its diagnosis.…”

“…(3) Autofluorescence and the appearance of the lesion with ultrasound and tomography are useful for its diagnosis. (4) These plaques may simulate tumors (1,2) and can lead to misdiagnosis especially with choroidal osteomas. (4) Metastases, amelanotic melanomas, nevus, idiopathic choroiditis or intraocular lymphomas (1,5) should be excluded.…”