Retina

Case 46

Patient Presentation: A 69-year-old Caucasian female with a past medical history of breast cancer was referred to a tertiary retina clinic for assessment of a suspicious retinal lesion in the right eye found by her optometrist on routine examination. The patient was asymptomatic with no past ocular history. Vision was 20/25 OD and 20/20 OS with no RAPD and IOP within normal limits. Dilated fundus examination demonstrated a discrete, yellow lesion in the superior mid periphery over the superior arcade. Fundus photo OD and OCT over the lesion are shown below:

Question: What is the main finding in the 5-line raster OCT of the lesion above?

Question: What is the most likely diagnosis based on the patient presentation and OCT imaging?

The patient is concerned about this diagnosis and inquires further about the prognosis of this disease. 

Question: What do you inform the patient about the course of this disease?

Question: What systemic disease should be worked up for in patients with sclerochoroidal calcification?

Learning Objectives:

1. OCT findings of sclerochoroidal calcification.
2. Treatment and work-up of sclerochoroidal calcification.

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