title: Bilateral Adie's Tonic Pupil and Hyperopic Shift in Idiopathic Sclerochoroidal Calcification.
abstract: 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.
authors.affiliation: Department of Ophthalmology, The Methodist HospitalHoustonTexasUSA; Baylor College of MedicineHoustonTexasUSA.
authors.forename: Jason
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Baylor College of MedicineHoustonTexasUSA; Department of Ophthalmology, The University of Texas Medical BranchGalvestonTexasUSA.
authors.forename: Alexander S
authors.initials: AS
authors.lastname: Davis
authors.affiliation: Baylor College of Medicine HoustonTexas USA.
authors.forename: Arielle
authors.initials: A
authors.lastname: Spitze
authors.affiliation: Department of Ophthalmology, The Methodist HospitalHoustonTexasUSA; Baylor College of MedicineHoustonTexasUSA; Department of Ophthalmology, The University of Texas Medical BranchGalvestonTexasUSA; Departments of Ophthalmology, Neurology, and Neurosurgery, Weill Cornell Medical CollegeNew YorkNew YorkUSAand; Department of Ophthalmology, The University of Iowa Hospitals and ClinicsIowa CityIowaUSA.
authors.forename: Andrew G
authors.initials: AG
authors.lastname: Lee
keywords: Adie’s tonic pupil; hyperopic shift; sclerochoroidal calcification