Sugarman Jordan A, Douglass Alexzandra M, Say Emil Anthony T, Shields Carol L
Ocular Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Oman J Ophthalmol. 2017 Jan-Apr;10(1):47-49. doi: 10.4103/0974-620X.200693.
Sclerochoroidal calcification (SCC) is a frequent masquerader of choroidal melanoma with important systemic associations such as hyperparathyroidism and parathyroid adenoma. Herein, we describe a case of a 67-year-old male who presented with an amelanotic choroidal lesion in the right eye (OD) and a history of kidney stones. Ultrasonography showed the lesion to be flat and calcified OD. Incidentally, a subclinical calcified plaque was also found in the fellow eye. Optical coherence tomography showed an elevated suprachoroidal mass in a table mountain configuration OD and flat configuration left eye, consistent with type 4 and type 1 SCC. The patient was referred for metabolic testing to rule out the underlying electrolyte imbalance and was found to be normal.
巩膜脉络膜钙化（SCC）是脉络膜黑色素瘤常见的伪装病变，与甲状旁腺功能亢进和甲状旁腺腺瘤等重要的全身关联疾病相关。在此，我们描述了一例67岁男性患者，其右眼出现无色素性脉络膜病变且有肾结石病史。超声检查显示右眼病变扁平且钙化。偶然发现，对侧眼也有一个亚临床钙化斑块。光学相干断层扫描显示右眼为桌山形态的脉络膜上肿块隆起，左眼为扁平形态，符合4型和1型SCC。该患者被转诊进行代谢检测以排除潜在的电解质失衡，结果显示正常。
