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Choroidal osteoma in an infant
1Department of Ophthalmology, Shimane Medical University, Izumo, Japan. ophthal@shimane-med.ac.jp
Insights
This case report details an 8-month-old infant diagnosed with choroidal osteoma, a rare bone tumor of the eye. This finding represents the youngest documented case of this condition.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Ocular Oncology
Background:
- Choroidal osteoma is a rare, benign ossifying tumor of the choroid.
- It typically affects young adults, with limited data on pediatric cases.
- Early diagnosis and monitoring are crucial for visual prognosis.
Observation:
- An 8-month-old infant presented with bilateral posterior pole yellow stippling.
- The patient was monitored for 8 years, revealing progressive changes.
- Clinical examination showed creamy, irregular, scalloped lesions in both fundi.
Findings:
- Computed tomography confirmed bilateral bony plates at the posterior pole.
- This imaging finding is characteristic of choroidal osteoma.
- The patient's age at diagnosis is notably young.
Implications:
- This case expands the known age range for choroidal osteoma presentation.
- Highlights the importance of recognizing subtle fundic changes in infants.
- Suggests the need for long-term surveillance in pediatric choroidal osteoma cases.
Purpose:
To report an 8-month-old infant with choroidal osteoma.
Method:
Case report.
Results:
The patient, who had bilateral yellow stippling at the posterior pole, was followed up for 8 years. Both fundi developed creamy, irregular scalloped lesions. Computed tomography showed a bony plate at the posterior pole bilaterally.
Conclusion:
We believe that this is the youngest patient reported to have choroidal osteoma.