CHOROIDAL OSTEOMA: REVIEW OF LITERATURE AND FIRST CASE FROM YEMEN

Abstract

Juxtapapillary choroidal tumors called choroidal osteomas are benign and do not require medical attention. They predominantly occur in young females (median age, 20 years). Ophthalmoscopy and fluorescein angiography can disclose indicative ocular signs, but computed tomography (CT), echography, and plain radiography are particularly crucial for making the right diagnosis. These lesions may be clinically misdiagnosed as a number of dystrophic lesions, as metastatic carcinoma, atypical malignant choroidal melanoma, metastatic carcinoma, leukemic or lymphoma infiltration, choroidal macular scarring, choroidal hemangiomas, or organized subretinal hemorrhage. As therapeutic methods, radiation and enucleation, it is crucial to rule out malignant melanoma from the differential diagnosis. According to an assessment of the literature, all reported instances with CT scans exhibited calcific densities that could be easily seen in the affected eye's posterior pole. The clinical, radiologic, and pathologic findings in our patient are all typical. We emphasize the importance of CT in assessing choroidal osteoma as well as the uniqueness of CT results. Peer Review History: Received: 11 August 2023; Revised: 14 September; Accepted: 28 October, Available online: 15 November 2023 Academic Editor: Dr. Rola Jadallah, Arab American University, Palestine, rola@aauj.edu Received file: Reviewer's Comments: Average Peer review marks at initial stage: 6.0/10 Average Peer review marks at publication stage: 7.5/10 Reviewers: Prof. Gorkem Dulger, Duzce University, Turkey, gorkemdulger@yandex.com Dr. Bilge Ahsen KARA, Ankara Gazi Mustafa Kemal Hospital, Turkey, ahsndkyc@gmail.com