Multiple choroidal osteomas in a boy - a rare presentation: a case report

Journal of Medical Case Reports
Arup DeuriVijaya Agarwalla

Abstract

Choroidal osteoma is rare clinical entity of unknown etiology, characterized by formation of mature cancellous bone within the choroid. It typically affects young females, with no racial predilection. Vision loss occurs mainly due to photoreceptor degeneration secondary to decalcification and/or development of choroidal neovascularization especially if located at the subfoveal area. Our case is 9-year-old Indian (Indo-Aryan) boy identified incidentally with clinical features suggestive of choroidal osteoma with marked diminution of vision. Spectral domain optical coherence tomography demonstrated high reflectivity from the choroid and atrophy of the overlying retinal layers and B-scan ultrasound demonstrated multiple highly reflective calcified lesions within the choroid. Although available literature shows that the occurrence of this rare clinical entity is more commonly seen in young females, our case report has shown that it may be seen at a very early age. The treatment options are still not available if significant atrophy of retinal pigment epithelium has already occurred; however, vision loss due to associated choroidal neovascularization may be treated with currently available treatment options. In our case, the vision ...Continue Reading

References

Mar 1, 1978·Archives of Ophthalmology·J D GassG Harris
Jan 1, 1991·The British Journal of Ophthalmology·S N Trimble, H Schatz
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Feb 24, 2006·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Jennifer ChenJ Donald M Gass
Jan 16, 2008·Archives of Ophthalmology·Carol L ShieldsJerry A Shields

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