ABSTRACT
BACKGROUND: Idiopathic sclerochoroidal calcification is a rare benign disorder of the choroid and sclera which has initially been described twelve years ago. Clinically, it is often mistaken for osteoma, choroidal metastasis or infiltration in lymphoma leading to exentsive further investigations. CASE REPORT: A 68-year-old patient had been referred to our outpatient clinic because of unusual fundus changes on both eyes. Ophthalmoscopic examination revealed a yellowish placoid-like lesion in the superotemporal quandrant of the fundus of both eyes, the left lesion being more discrete. Flurescein angiography and echography led to the diagnosis of bilateral ISC. CONCLUSION: Although idiopathic sclerochoroidal calcification can easily be diagnosed by echographic and angiopraphic examination, it is frequently misdiagnosed for malignant tumors thus initiating excessive further investigation.
