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August 1989

Idiopathic Sclerochoroidal Calcification

Author Affiliations

Chicago, Ill

Arch Ophthalmol. 1989;107(8):1122-1123. doi:10.1001/archopht.1989.01070020188015

To the Editor.  —Previous reports of sclerochoroidal calcifications have included patients with renal disease, hyperparathyroidism, pseudohypoparathyroidism, sarcoidosis, vitamin D intoxication, or primary hypercalcemia.1 We report a case of idiopathic sclerochoroidal calcifications.

Report of a Case.  —A 70-year-old white man was referred to us for evaluation of possible choroidal metastases from a prostatic carcinoma. The lesions were diagnosed during a routine ophthalmoscopic examination. Visual acuity was 20/20 OD and 20/ 30 OS. Anterior segment examination revealed only 1+ nuclear sclerosis bilaterally. Applanation pressures were 16 mm Hg OD and 17 mm Hg OS. The vitreous was clear.The ophthalmoscopic examination revealed normal discs, maculae, and vessels. However, numerous scattered yellowish solid choroidal plaques and nodules elevated the overlying retina in both eyes. The lesions had irregular geographic outlines and ranged from one half to several disc diameters in size. The retina appeared normal, without subretinal fluid, pigmentation, or neovascularization.The

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