Retinal Imaging Research and Reading Center, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ocul Immunol Inflamm. 2012 Jun;20(3):190-2. doi: 10.3109/09273948.2012.670358. Epub 2012 Apr 9.
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.
Case Report
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.
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.
Sclerochoroidal calcifications should be included in the differential of choroidal masses, given their unique appearance on EDI-OCT.
报告一例巩膜脉络膜钙化病例，并描述使用增强深度成像（EDI-OCT）技术的这些病变的外观。
病例报告
对一名 85 岁的双侧视网膜病变疑似转移患者进行裂隙灯生物显微镜检查、眼底检查、荧光素血管造影、B 型超声（U/S）和 EDI-OCT 检查。
B 型超声显示双侧脉络膜回声致密性增强，伴有声影，符合巩膜脉络膜钙化。EDI-OCT 显示病变后部反射性高的病变，反射性降低。
鉴于 EDI-OCT 上的独特表现，巩膜脉络膜钙化应包括在脉络膜肿块的鉴别诊断中。
