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Choroidal osteoma

E F Kadrmas1, J J Weiter

  • 1Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston 02114, USA.

International Ophthalmology Clinics
|January 16, 1998
PubMed
Summary

Choroidal osteoma, a benign tumor in young women, presents unilaterally and may cause choroidal neovascularization. Diagnosis involves imaging, and neovascularization can be treated with laser photocoagulation.

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Area of Science:

  • Ophthalmology
  • Oncology

Background:

  • Choroidal osteoma is a rare, benign ossifying tumor of the choroid.
  • It typically affects young, healthy women in their second or third decade of life.
  • The pathogenesis remains unknown, and it is usually unilateral, often located in the juxtapapillary region.

Purpose of the Study:

  • To summarize the clinical presentation, diagnosis, and management of choroidal osteoma.
  • To highlight the importance of differentiating choroidal osteoma from other intraocular conditions.
  • To discuss the potential complications, such as choroidal neovascularization, and their treatment.

Main Methods:

  • Review of clinical characteristics and diagnostic modalities for choroidal osteoma.
  • Discussion of imaging techniques including ultrasonography, computed tomography, fluorescein angiography, and ICG videoangiography.
  • Analysis of treatment options for associated choroidal neovascularization.

Main Results:

  • Choroidal osteoma is characterized as a calcified plaque in the choroid.
  • Choroidal neovascularization occurs in up to one-third of cases.
  • Diagnostic imaging aids in differentiating it from other calcific or neoplastic lesions.

Conclusions:

  • Choroidal osteoma requires differentiation from other intraocular tumors and calcifications.
  • Imaging techniques are crucial for diagnosis.
  • Laser photocoagulation is a potential treatment for choroidal neovascularization secondary to choroidal osteoma.

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