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Epibulbar osseous choristoma in 8 patients
Carol L Shields1, Anam Qureshi, Ralph C Eagle
1Ocular Oncology Service, Wills Eye Institute, Thomas Jefferson University, Philadelphia, PA, USA. carol.shields@shieldsoncology.com
Purpose:
To describe the clinical features and histopathology of epibulbar osseous choristoma in a series of patients.
Methods:
Noncomparative case series with chart review of 8 patients.
Results:
At presentation, the mean age of the patients was 19 years (median, 19 years; range, 0.8-38 years), with 6 women and 2 men (6 Caucasian, 1 Hispanic, and 1 African American). There were no related systemic syndromes, and visual acuity was unaffected in all cases. The choristoma was superotemporal (n = 8, 100%), with epicenter located in the fornix (n = 8, 100%), deep to Tenon fascia (n = 8, 100%), and of yellow (n = 2, 25%), white (n = 2, 25%), or pink (n = 4, 50%) color. The mean basal dimension was 9 mm (median, 10 mm; range, 3.5-14 mm), and mean thickness was 4 mm (median, 4 mm; range, 2-5 mm). Four cases were managed with observation and 4 with surgical excision, revealing tumor base adherent to the episclera (n = 2, 50%) or loose within Tenon fascia (n = 2, 50%). There were no cases to demonstrate intrascleral involvement, growth, or recurrence.
Conclusions:
Epibulbar osseous choristoma is a congenital lesion of mature bone located superotemporally in the fornix at the level of Tenon fascia or episclera in young patients.
