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Multiple choroidal osteomas in a boy - a rare presentation: a case report
Arup Deuri1, Deepanjan Ghosh1, Jayant Ekka2
1Department of Ophthalmology, Assam Medical College, Dibrugarh, Assam, India.
Journal of Medical Case Reports
|August 3, 2019
Summary
Choroidal osteoma, a rare bone formation in the eye, can affect young males, not just females. Early detection is key as vision loss from retinal atrophy has limited treatment options.
Area of Science:
- Ophthalmology
- Medical Imaging
- Pathology
Background:
- Choroidal osteoma is a rare condition involving bone formation in the choroid.
- Its etiology is unknown, and it typically affects young females.
Observation:
- A 9-year-old Indian boy presented with vision loss and features of choroidal osteoma.
- Spectral domain optical coherence tomography revealed choroidal reflectivity and retinal atrophy.
- B-scan ultrasound showed calcified lesions within the choroid.
Findings:
- This case highlights choroidal osteoma occurring at a young age in a male.
- Vision loss was attributed to significant retinal layer atrophy.
Implications:
- While choroidal osteoma is more common in females, this case shows it can affect young males.
- Vision loss from retinal atrophy is difficult to treat; however, choroidal neovascularization may be manageable.
- Regular follow-up is advised for patients with choroidal osteoma.
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