Abstract
PurposeTo report a case of choroidal osteoma associated with reactivation of choroidal neovascularization (CNV) and development of focal choroidal excavation (FCE).Case ReportA 34-year-old woman with choroidal osteoma complicated by CNV in the right eye for two years presented with deterioration of visual acuity in her right eye. A small retinal hemorrhage accompanied by subretinal fluid (SRF) was seen in the macular area of the right eye. Optical coherence tomography (OCT) showed that the inner retina was intact, and the outer retinal layers had outward displacement. SRF and a wedge-shaped choroidal depression were also seen. This choroidal excavation was not present on previous OCT images. The integrity of the inner retinal layers was maintained, and an optically clear space was present between the neurosensory retina and the retinal pigment epithelium.ConclusionChoroidal osteoma can be complicated by CNV and FCE could occur as a consequence. Again, FCE can lead to CNV development. This cascade can deteriorate vision and sometime lead to permanent visual loss.
Highlights
Choroidal osteoma is a rare, ossifying, benign tumor of the choroid
A 34-year-old healthy woman with bilateral choroidal osteoma complicated by choroidal neovascularization (CNV) in the right eye for the two years presented with acute deterioration of visual acuity (VA) in the right eye
Fluorescein angiography (FAG) demonstrated mild hyperfluorescence in the choroidal osteoma due to window defect, as well as juxtafoveal hyperfluorescence corresponding to active CNV in the right eye (Figure 3), which was better delineated on Optical coherence tomography (OCT) angiography (Figure 4)
Summary
Choroidal Osteoma with Excavation; Azimizadeh et al young healthy women in the second and third decades of life and is unilateral in 80% of cases.[1] it has been recognized as a benign tumor, it can grow in 51% of patients by 10 years and can be complicated by enlargement, decalcification, and choroidal neovascularization (CNV).[2] We report an interesting case involving a 34-year-old woman with bilateral choroidal osteoma complicated by CNV in the right eye, with development of FCE following reactivation of the CNV.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
