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Fundus photography and B-scan ultrasonography of sclerochoroidal calcification lesions. (A) There are dense yellow-white lesions in the superotemporal region near the superior retinal arcades in the right eye. (B) Fundus photography shows scattered calcifications in the superotemporal region of the fundus in the left eye. (C and D) Ultrasonography in both eyes shows hyperechoic lesions at the level of the choroid-scleral junction with posterior shadowing.
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B). B-scan ultrasonography revealed multiple hyperechoic lesions at the sclerochoroidal junction (Figure 1C and D).
Blue-light autofluorescence of the right eye (left eye not shown) displaying an autofluorescent lesion adjacent to the superior and inferior retinal arcades.
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Fundus autofluorescence showed hyperautofluorescence of the lesions (Figure 2).
Fluorescein angiography of right (A) and left (B) eyes displays mild-moderate late phase staining with no obvious leakage. Indocyanine green angiography (ICGA) of right (C) and left (D) eyes shows extensive, multifocal hypofluorescent lesions in the near-peripheral and mid-peripheral fundus with choroidal vascular hyperpermeability of the macular area.
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Late-phase FA revealed peripheral staining without obvious leakage, and ICGA revealed multifocal, scattered hypocyanescent lesions in the peripheral retina of both eyes in all phases with some hypervascularity of the macular area (Figure 3).
OCT imaging of representative SCC lesions in the right eye (left eye not shown) near the (A) superior and (B) inferior retinal arcades. The sclera appears to have a "rocky-rolling" surface with thinning of overlying choroid.
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Macular OCT showed scleral thickening with a "rocky-rolling" contour and compression of overlying choroid at and surrounding lesions (Figure 4).