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An atypical case of choroidal osteomas
A K Spies1, B A Teitelbaum, F K Aide
1Illinois College of Optometry, Chicago 60616, USA. aspies@eyeball.ico.edu
Optometry (St. Louis, Mo.)
|June 8, 2001
Summary
This case report details a rare instance of bilateral choroidal osteomas in a woman, with symptoms potentially linked to pregnancy. The atypical presentation highlights the need for careful diagnosis of these benign choroidal tumors.
Area of Science:
- Ophthalmology
- Oncology
Background:
- Choroidal osteomas are benign tumors of the choroid.
- Typically present unilaterally in young women, often near the optic disc.
Observation:
- A 32-year-old woman presented with bilateral choroidal osteomas.
- Visual symptoms occurred during her third pregnancy.
- Right eye: elevated lesion with subretinal fluid; Left eye: flat lesion.
- Angiography confirmed subretinal fluid in the right eye.
Findings:
- Atypical features include significant height and diffuse subretinal fluid leakage without a neovascular membrane in the right eye.
- Possible tumor growth associated with pregnancy.
- Bilateral presentation, indistinct borders, and extra-macular location are atypical.
Implications:
- This case expands the understanding of choroidal osteoma presentation.
- Highlights potential hormonal influences, such as pregnancy, on tumor behavior.
- Emphasizes the importance of considering atypical presentations in diagnosing choroidal osteomas.