Bilateral adie's tonic pupil and hyperopic shift in idiopathic sclerochoroidal calcification

Jason Zhang, Alexander S. Davis, Arielle Spitze, Andrew G. Lee

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Sclerochoroidal calcification is a rare but recognised ophthalmic manifestation seen mostly in elderly Caucasian individuals. The lesions, often bilateral, appear as yellow-white irregular subretinal lesions usually found along the mid-peripheral fundus. Though typically asymptomatic, sclerochoroidal calcification has rarely been associated with parafoveal involvement, choroidal neovascularisation, and serous detachment of the calcifications. Visual involvement is typically minimal, and neovascularisation is often visually insignificant. We present a rare case of sclerochoroidal calcification in a 64-year-old Caucasian female who presented with painless progressive bilateral vision loss and a hyperoptic shift with subsequent development of bilateral sequential Adie's tonic pupil. To the best of our knowledge, this is the first such report in the English language literature.

Original languageEnglish (US)
Pages (from-to)96-99
Number of pages4
Issue number2
StatePublished - Apr 1 2015


  • Adie's tonic pupil
  • Hyperopic shift
  • Sclerochoroidal calcification

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology


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