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Sclerochoroidal calcifications imaged using enhanced depth imaging optical coherence tomography.
Jithin Yohannan; Roomasa Channa; Cathy W Dibernardo; Ingrid E Zimmer-Galler; Mohamed Ibrahim; Yasir J Sepah; Millena Bittencourt; Diana V Do; Quan Dong Nguyen (Profiled Authors: Cathy Dibernardo; Quan Nguyen; Diana Do; Ingrid Zimmer-Galler)
Retinal Imaging Research and Reading Center, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ocular immunology and inflammation 2012;20(3):190-2.
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.
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