Complications, treatments, and visual prognosis of choroidal osteomas

Area of Science:

• Ophthalmology
• Medical Imaging
• Retinal Diseases

Background:

• Choroidal osteoma is a rare, benign ossifying tumor of the choroid.
• Understanding its complications and visual outcomes is essential for patient management.

Purpose of the Study:

• To detail the complications, treatments, and visual prognosis associated with choroidal osteoma.
• To identify risk factors for vision loss in patients with choroidal osteoma.

Main Methods:

• Retrospective review of medical records and multimodal imaging.
• Analysis of data from 41 patients diagnosed with choroidal osteoma.

Main Results:

• Choroidal neovascularization (CNV) occurred in 47.7% and subretinal fluid (SRF) in 31.8% of eyes.
• Intravitreal anti-VEGF injections were the primary treatment, showing high remission rates for CNV (93.4%) and SRF (57.1%).
• CNV and outer retinal tubulation (ORT) were significant risk factors for vision loss, with 5-year low vision probability at 34.2%.

Conclusions:

• CNV and ORT are major risk factors for visual impairment in choroidal osteoma.
• Frequent recurrences necessitate regular follow-up and tailored treatment strategies.
• Effective management requires vigilant monitoring and prompt intervention for complications.