Choroidal osteoma in a 6-year-old child

A healthy 6-year-old black girl presented with an asymptomatic lesion in the posterior pole of the left eye. The lesion had the classic clinical features on ophthalmoscopy and ultrasonography of a choroidal osteoma. It is important that other benign and malignant processes such as malignant melanoma, metastatic tumor, and choroidal hemangioma can simulate this benign tumor. A good clinical history and examination followed by carefully selected ancillary tests such as ultrasonography should confirm the diagnosis of choroidal osteoma. To our knowledge this case is the youngest reported case and the first black patient reported.