Abstract

Choroidal osteoma (CO) is a rare, benign, ossifying tumor of the choroid usually seen in otherwise healthy eyes. Vision impairment in CO is mainly attributed to serous retinal detachment (SRD) with or without choroidal neovascularization (CNV) and subfoveal tumor decalcification. We report a 54-year-old man with CO-related SRD without concomitant CNV in his right eye. The subretinal fluid was refractory to intravitreal aflibercept injections. Intravitreal injections of triamcinolone acetonide (IVTA) were performed and resulted in significant fluid resolution and remarkable visual improvement. This is the first reported case in the literature demonstrating the efficacy of IVTA in CO-related SRD.

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