Sclerochoroidal Calcification Is Primarily a Scleral Condition Based on Enhanced Depth Imaging Optical Coherence Tomography

Classification of Sclerochoroidal Calcification Based on Enhanced Depth Imaging Optical Coherence Tomography “Mountain-Like” Features

“…(Shields et al, unpublished data) We believe that EDI-OCT can assist in establishing the correct diagnosis of SCC and avoiding misdiagnosis of malignancies. [9][10][11] In this study, we have investigated minute details of SCC regarding lesion pattern and overlying choroidal and retinal features, defining four distinct subtypes of SCC based on EDI-OCT.…”

“…In a previous analysis from our department, 9 we explored EDI-OCT of 17 SCC lesions in 9 patients and initially realized that this condition was primarily a scleral not choroidal abnormality. We further illustrated the rocky and rolling lesion configurations, which could be unique to SCC.…”

“…Enhanced depth imaging optical coherence tomography (EDI-OCT) can be used to image SCC, identifying its location within the sclera and compression of the overlying choroid. 9 Herein, we study a large cohort of 67 eyes with clinically determined SCC and evaluate the specific EDI-OCT features and correlate them with clinical appearance and tumor thickness. We provide a classification of this condition based on the "mountain-like" appearance on imaging.…”

Enhanced Depth Imaging Optical Coherence Tomography of Intraocular Tumors

“…63 Enhanced depth imaging optical coherence tomography findings of sclerochoroidal calcification are typical. [64][65][66] Fung et al 66 studied 13 eyes at a mean age of 74 years and found that the mass was within the sclera in all cases, causing thinning or complete absence of overlying choroid (mean choroidal thickness 28 mm) ( Table 1) (Figure 8). The lesion showed anterior tumor surface topography elevated with undulating rocky (38%) or rolling (62%) anterior scleral surface.…”

Stones, bones, groans, thrones, and psychiatric overtones: Systemic associations of sclerochoroidal calcification

“…[12] SCC can masquerade as various intraocular tumors and is frequently misdiagnosed as choroidal metastasis or choroidal osteoma. The confusion with choroidal osteoma stems from the presence of calcification within both tumors; however, the clinical features differ in that osteoma affects young patients whereas SCC affects the elderly.…”