BILATERAL COROIDAL OSTEOMA- A CASE REPORT
2nd GLOBAL OPHTHALMOLOGY SUMMIT 2019
March 27-28, 2019 | Amsterdam, Netherlands
Suchitra Kumari Biswal and Lam Sudha Rani
Andhra Medical College, India
Scientific Tracks Abstracts : Ophthalmol Case Rep
Abstract:
Choroidal osteoma is a rare benign, ossifying tumor within choroid. The first case presented at the meeting
of Verhoeff Society in 1975 and reported by Gass etal. It is often an unilateral condition that affects juxtapapillary
area, more common in females. Case Report: A 32 years old male patient presented with a history
of 13 years of gradual decline in visual acuity in both eyes, left eye more than right eye associated with metamorphopsia.
Visual acuity at presentation: Right eye: counting fingers at 1 meter. Left eye: counting fingers
at 1/2 meter. Anterior segment examination was normal in both eyes. No history of any systemic disease or
significant family history. History of multiple intravitreal injections for the above complaint. Fundus:OD: Media-
clear,optic disc size and shape normal. A whitish elevated subretinal mass with irregular contour present in
the posterior pole within 30* with scalloped edges, with pigmented epithelial change with subretinal heamorrhage
in extrafoveal area in superior part at 1/2 disc diameter. OS: Media – clear, optic disc size and shape
normal. A whitish elevated subretinal mass with irregular contour present in posterior pole within 30* with
scalloped edges,with scarring at foveal area. In comparision to photographic documentation, shows that mass
has increased in size over 10years. FFA of both eyes shows late diffuse staining of tumor in both eyes and in
right eye diffuse leak in foveal area. B- SCAN picture of both eyes shows focal subretinal calcification with shadowing
posterior to lesion (pseudo optic nerve apperance). OCT picture of right eye shows the foveal thinning
and in left eye irregular foveal contour with scarred CNVM. FAF of both eyes shows irregular hyperflourescence
suggestive of few decalcification.
Conclusion: Choroidal osteoma is a rare choroidal lesion of bone density with propensity for growth, decalcification,
and development of CNVM. In the case presented here, presentation is bilateral and tumor growth over
a 13 years period was noted, and decline in visual acuity with secondary complications resistant to multiple
intravitreal anti VEGF.As a consequence of rarity other ocular condition must be considered like amelanotic
choroidal melanoma, choroidal metastasis and more. Long-term monitoring of the tumor will be important
along with treatment of secondary complications.
Biography:
Suchitra Kumari Biswal has completed her MS ophthalmology from Andhra Medical College. Now she is doing her senior residency from Andhra Medical College.
E-mail: suchitrabiswal01@gmail.com
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