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Age: 81

Sex: Male

Indication: Fall

Calcific Scleral Plaques

Mimicking Foreign Bodies



Findings Relating to the Mimic

  • No acute fracture or foreign body.  Small calcification at the insertion sites of the medial rectus muscles bilaterally, compatible with benign calcified scleral plaques.


Discussion

  • Calcific scleral plaques are typically located at the insertion of the medial and lateral rectus muscles on the globe.
  • The presence of senile plaques increases with age and they are common in elderly patients (>20% in patients at 80 years and older).
  • Usually can be distinguished from a foreign body given typical location and patient age.


Images

Characteristic appearance and location of bilateral calcified scleral plaques at the insertion of the medial rectus muscles (red arrows). Also frequently occur at the insertion site of the lacteral rectus muscles.

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