Choroidal osteoma: an atypical presentation |
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| Affiliation: | 1. Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL), Department of Orthopaedic Surgery and Traumatology, Rue du Bugnon 46, 1011 Lausanne, Switzerland;2. Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, UK;1. Laboratory Corporation of America Holdings (LabCorp), Morrisville, Burlington, NC, USA;2. Department of Endocrinology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands;3. Department of Nephrology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands |
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| Abstract: | Choroidal osteomas are benign osseous tumors of the choroid. These tumors typically occur unilaterally in the juxtapapillary region in young, healthy, white females. The fundus appearance is a yellow-white or orange-red elevated lesion with sharply demarcated irregular borders. Potential complications include growth and visual compromise secondary to choroidal neovascularization. Management involves photodocumentation with annual funduscopic examination and daily Amsler Grid self assessment. Laser photocoagulation is advocated in the presence of choroidal neovascularization within the arcades. A 70-year-old male presented with a unilateral subretinal elevated yellow-orange mass. Although atypical in presentation, the lesion was diagnosed as a choroidal osteoma based on the funduscopic appearance, computed tomography, ultrasonography and serologic testing. |
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