Bilateral Multifocal Choroidal Osteoma with Choroidal Neovascularization

Area of Science:

• Ophthalmology
• Medical Imaging

Background:

• Choroidal osteoma is typically diagnosed as a unilateral condition in most patients.
• Bilateral multifocal choroidal osteoma is an exceptionally rare presentation.

Purpose of the Study:

• To present the clinical characteristics and multimodal imaging findings of a rare case of bilateral multifocal choroidal osteoma.
• To highlight the management and visual outcome in a patient with this rare condition.

Main Methods:

• Ophthalmoscopy and multimodal imaging were utilized for diagnosis.
• Intravitreal bevacizumab injections were administered for choroidal neovascularization.

Main Results:

• The patient presented with decreased visual acuity in the right eye (20/100) and normal vision in the left eye (20/20).
• Bilateral multifocal choroidal osteoma with choroidal neovascularization in the right eye was diagnosed.
• Following treatment, visual acuity in the right eye improved to 20/40.

Conclusions:

• Bilateral multifocal choroidal osteoma is a rare entity that can occur.
• Multimodal imaging is crucial for diagnosing choroidal osteoma and associated complications.
• Intravitreal bevacizumab can be an effective treatment for choroidal neovascularization secondary to choroidal osteoma.