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CHOROIDAL OSTEOMA IN AN INFANT.

Adrianna E Eder1, Karina Bostwick, Jill R Wells

  • 1Department of Ophthalmology, Emory University School of Medicine, Atlanta, GA.

Retinal Cases & Brief Reports
|December 13, 2023
PubMed
Summary

This case report details a choroidal osteoma in an infant, successfully treated with transpupillary thermotherapy. The treatment led to complete regression of the macular lesion, preserving the child's vision.

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Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Ocular Oncology

Background:

  • Choroidal osteomas are rare, benign bone tumors of the choroid.
  • Macular involvement poses a significant risk to central vision, especially in infants.
  • Early diagnosis and intervention are crucial for managing sight-threatening ocular lesions.

Purpose of the Study:

  • To describe a case of choroidal osteoma with macular involvement in an infant.
  • To evaluate the efficacy of transpupillary thermotherapy (TTT) in treating pediatric choroidal osteoma.
  • To highlight the management of a rare pediatric ocular tumor.

Main Methods:

  • A case report of an 11-month-old infant with a suspected choroidal osteoma.
  • Diagnostic imaging included B-scan ultrasonography.
  • Treatment involved transpupillary thermotherapy (TTT).
  • Follow-up examinations under anesthesia (EUA) were conducted over 4 months.

Main Results:

  • An infant presented with a macular lesion diagnosed as choroidal osteoma.
  • The lesion demonstrated growth and encroached on the fovea, indicating a risk of vision loss.
  • TTT treatment resulted in complete decalcification and no subsequent growth of the osteoma.
  • No recurrence or adverse effects were noted during the 4-month follow-up period.

Conclusions:

  • Choroidal osteomas, though benign, can be sight-threatening when involving the macula.
  • Transpupillary thermotherapy is an effective treatment for pediatric choroidal osteoma with macular involvement.
  • Prompt management with TTT can lead to complete regression and preserve vision in affected infants.