RESUMEN
La calcificación esclerocoroidea (CEC) es infrecuente y benigna. Se suele detectar en una exploración rutinaria hallándose múltiples lesiones blanco-amarillentas en el ecuador temporal superior de la retina en varones de mediana edad y ancianos. Se expone el caso de un paciente varón de 79 años de edad que presentó en una revisión rutinaria glaucoma pseudoexfoliativo en el ojo derecho, así como lesiones subretinianas blanco-amarillentas sobreelevadas en la región ecuatorial temporal superior en ambos ojos. Tras instaurar tratamiento hipotensor y realizarse autofluorescencia, tomografía de coherencia óptica (OCT), ecografía, tomografía computarizada (TC) ocular y analítica completa, se diagnosticó de CEC idiopáticas. La CEC requiere un estudio oftalmológico y sistémico completo porque puede asociar enfermedad endocrina. También se recomienda el seguimiento evolutivo periódico y descartar posibles complicaciones como la atrofia del epitelio pigmentario suprayacente, desprendimiento seroso, o la aparición de neovascularización. Debe realizarse el diagnóstico diferencial con lesiones benignas y malignas para evitar tratamientos innecesarios
Sclerochoroidal calcification (SCC) is uncommon and benign. It is usually detected in a routine examination, finding multiple yellow-white lesions in the upper temporal region of the retina in middle-aged and elderly men. A case report is presented of a 79 year-old male patient, who during a routine examination with a pseudoexfoliative glaucoma in the right eye, as well as raised white-yellow subretinal lesions in the upper temporal region in both eyes. After establishing hypotensive treatment and performing autofluorescence, optical coherence tomography (OCT), ultrasound, ocular computed tomography (CT) and complete laboratory analysis, idiopathic SCC was diagnosed. SCC requires a complete ophthalmological and systemic study as it can be associated with endocrine disease. Periodic follow-up is also recommended, as well as to rule out possible complications, such as atrophy of the overlying pigment epithelium, serous detachment, or the appearance of neovascularization. The differential diagnosis should be made of benign and malignant lesions, in order to avoid unnecessary treatment
Asunto(s)
Humanos , Masculino , Anciano , Enfermedades de la Esclerótica/diagnóstico por imagen , Calcinosis/diagnóstico por imagen , Diagnóstico Diferencial , Hallazgos IncidentalesRESUMEN
Sclerochoroidal calcification (SCC) is uncommon and benign. It is usually detected in a routine examination, finding multiple yellow-white lesions in the upper temporal region of the retina in middle-aged and elderly men. A case report is presented of a 79 year-old male patient, who during a routine examination with a pseudoexfoliative glaucoma in the right eye, as well as raised white-yellow subretinal lesions in the upper temporal region in both eyes. After establishing hypotensive treatment and performing autofluorescence, optical coherence tomography (OCT), ultrasound, ocular computed tomography (CT) and complete laboratory analysis, idiopathic SCC was diagnosed. SCC requires a complete ophthalmological and systemic study as it can be associated with endocrine disease. Periodic follow-up is also recommended, as well as to rule out possible complications, such as atrophy of the overlying pigment epithelium, serous detachment, or the appearance of neovascularization. The differential diagnosis should be made of benign and malignant lesions, in order to avoid unnecessary treatment.