Abstract
Title: Osseous Metaplasia Leading to Traction Retinal Detachment in the nonphthisical eye of Young Boy with Cytomegalovirus Retinitis. Purpose: To report a case of intraocular bone formation in an 11-year-old boy with a history cytomegalovirus (CMV) retinitis secondary to immunosuppression following Bone Marrow Transplantation due to hyper Immunoglobulin G (IgG) syndrome. Methods: An 11-year-old male presented with decreased vision in his better seeing eye. Clinical examination and Bscan ultrasound discovered a tractional retinal detachment with a large subretinal lesion. The patient was taken for surgical intervention. Results: The subretinal lesion was removed during surgery, and histopathologic evaluation revealed mature lamellar bone. Conclusion: This case shows that mature intraocular bone can be associated with tractional retinal detachment in a nonphthisical eye.
Highlights
While bone formation arising from metaplasia of the retinal pigment epithelium (RPE) has been reported in the literature, it remains a rare entity
Title: Osseous Metaplasia Leading to Traction Retinal Detachment in the nonphthisical eye of Young Boy with Cytomegalovirus Retinitis
This case shows that mature intraocular bone can be associated with tractional retinal detachment in a nonphthisical eye
Summary
While bone formation arising from metaplasia of the retinal pigment epithelium (RPE) has been reported in the literature, it remains a rare entity It often occurs in eyes with multiple ocular surgeries, inflammation, severe trauma, long standing retinal detachment, or phthisis bulbi which have a poor visual prognosis [1-4]. Through these hazy media, the nasal elevated subretinal lesion appeared to have increased in size. The large lesion was found to beneath the neurosensory When it was removed from the eye, the inner aspect that was just beneath the retina was white, while the outer aspect was darkly pigmented and appeared to be associated with the retinal pigment epithelium. The white surface is lobulated and has the appearance of bone
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