University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds Online Atlas of Ophthalmology

Idiopathic sclerochoroidal calcification

Contributor: Jesse Vislisel, MD

Photographer: Carol Chan (fig 1); Stefani Karakas, CRA (fig 2)

Category(ies): Retina/Vitreous

Sclerochoroidal calcification results from the deposition of calcium salts in the sclera and choroid which may be idiopathic, secondary to hypercalcemia, or associated with Gitelman or Bartter syndromes. The lesions are most commonly bilateral and located peripherally in the superotemporal quadrant, often along the arcades. They are frequently multiple. These features help to differentiate them from choroidal osteomas which are usually solitary, unilateral, juxtapapillary, and seen in younger adults.

Figure 1
right eye left eye
right eye, fundus image (montage) left eye, fundus image (montage)
B-scan echo, right eye b-scan echo left eye
a-scan, right eye


Figure 2
right eye left eye
Sclerochoroidal calcification Sclerochoroidal calcification


Shields JA, Shields CL. CME review: sclerochoroidal calcification: the 2001 Harold Gifford Lecture. Retina. 2002 ;22(3):251-61.

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last updated: 06/29/2015
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