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Original Article

Sclerochoroidal Calcifications Imaged Using Enhanced Depth Imaging Optical Coherence Tomography

Jithin YohannanRetinal Imaging Research and Reading Center, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA

, BA,

Roomasa ChannaRetinal Imaging Research and Reading Center, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA

, MD,

Cathy W. DiBernardoRetinal Imaging Research and Reading Center, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA

, RN, CDOS,

Ingrid E. Zimmer-GallerRetinal Imaging Research and Reading Center, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA

, MD,

Mohamed IbrahimRetinal Imaging Research and Reading Center, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA

, MD,

Yasir J. SepahRetinal Imaging Research and Reading Center, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA

, MBBS,

Millena BittencourtRetinal Imaging Research and Reading Center, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA

, MD,

Diana V. DoRetinal Imaging Research and Reading Center, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA

, MD &

Quan Dong NguyenRetinal Imaging Research and Reading Center, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USACorrespondence[email protected]

, MD, MSc show all

Abstract

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.

Keywords::

Declaration of interest: QDN is the recipient of the Physician Scientist Award from the Research to Prevent Blindness and the RO1 Award from the National Eye Institute, National Institutes of Health (EY17577). QDN, DVD, and the Johns Hopkins University have received research support from Heidelberg Engineering, Inc. and Optos, Inc. QDN has served on the Scientific Advisory Board for Heidelberg, Inc. The remaining authors have no conflicts of interest.

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Sclerochoroidal Calcifications Imaged Using Enhanced Depth Imaging Optical Coherence Tomography

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Sclerochoroidal Calcifications Imaged Using Enhanced Depth Imaging Optical Coherence Tomography

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