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Choroidal osteoma - case reports.

N Khan1, N A Rahman, M S Uddin

  • 1Dr Nazneen Khan, Assistant Professor, Department of Ophthalmology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbagh, Dhaka, Bangladesh.

Mymensingh Medical Journal : MMJ
|September 3, 2014
PubMed
Summary
This summary is machine-generated.

Choroidal osteoma, a rare benign tumor, affects young females, often unilaterally. Diagnosis involves various imaging techniques, with most cases not requiring treatment.

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Area of Science:

  • Ophthalmology
  • Oncology

Background:

  • Choroidal osteoma is an exceptionally rare benign bone tumor originating in the choroid layer of the eye.
  • This condition predominantly affects young female patients.

Observation:

  • The study presents four case histories of choroidal osteoma.
  • All documented cases involved young female patients.
  • Three cases presented with unilateral involvement, while one case exhibited bilateral disease.
  • No familial history of the condition was reported among the patients.

Findings:

  • Diagnosis of choroidal osteoma relies on a combination of clinical examination and advanced imaging modalities.
  • These diagnostic tools include fundoscopy, ocular B-scan ultrasonography, X-ray of the orbit, fundus fluorescein angiography (FFA), optical coherence tomography (OCT), and CT scan of the orbit.
  • The majority of choroidal osteoma cases do not necessitate active treatment.
  • The presence of hemorrhage within the lesion may indicate sub-retinal neovascularization.

Implications:

  • Sub-retinal neovascularization associated with choroidal osteoma typically warrants treatment.
  • Treatment options for sub-retinal neovascularization include laser photocoagulation or intravitreal anti-VEGF injections.
  • Early diagnosis and appropriate management are crucial for preserving visual function in patients with choroidal osteoma.