ophthalmology-summit-2019-scientifictracks

Ophthalmology Summit 2019

Ophthalmology Case Reports | Volume 3

OF EXCELLENCE

IN INTERNATIONAL

MEETINGS

YEARS

March 27-28, 2019 | Amsterdam, Netherlands

GLOBAL

OPHTHALMOLOGY SUMMIT 2019

Page41

BILATERAL COROIDAL OSTEOMA- A CASE REPORT

Suchitra Kumari Biswal

and

Lam Sudha Rani

Andhra Medical College, India

horoidal osteoma is a rare benign, ossifying tumor within choroid. The first case presented at the meeting

of Verhoeff Society in 1975 and reported by Gass etal. It is often an unilateral condition that affects juxta-

papillary area, more common in females. Case Report: A 32 years old male patient presented with a history

of 13 years of gradual decline in visual acuity in both eyes, left eye more than right eye associated with meta-

morphopsia. Visual acuity at presentation: Right eye: counting fingers at 1 meter. Left eye: counting fingers

at 1/2 meter. Anterior segment examination was normal in both eyes. No history of any systemic disease or

significant family history. History of multiple intravitreal injections for the above complaint. Fundus:OD: Me-

dia-clear,optic disc size and shape normal. A whitish elevated subretinal mass with irregular contour present in

the posterior pole within 30* with scalloped edges, with pigmented epithelial change with subretinal heamor-

rhage in extrafoveal area in superior part at 1/2 disc diameter. OS: Media – clear, optic disc size and shape

normal. A whitish elevated subretinal mass with irregular contour present in posterior pole within 30* with

scalloped edges,with scarring at foveal area. In comparision to photographic documentation, shows that mass

has increased in size over 10years. FFA of both eyes shows late diffuse staining of tumor in both eyes and in

right eye diffuse leak in foveal area. B- SCAN picture of both eyes shows focal subretinal calcification with shad-

owing posterior to lesion (pseudo optic nerve apperance). OCT picture of right eye shows the foveal thinning

and in left eye irregular foveal contour with scarred CNVM. FAF of both eyes shows irregular hyperflourescence

suggestive of few decalcification.

Conclusion:

Choroidal osteoma is a rare choroidal lesion of bone density with propensity for growth, decalcifi-

cation, and development of CNVM. In the case presented here, presentation is bilateral and tumor growth over

a 13 years period was noted, and decline in visual acuity with secondary complications resistant to multiple

intravitreal anti

a consequence of rarity other ocular condition must be considered like amelanotic

choroidal melanoma, choroidal metastasis and more. Long-term monitoring of the tumor will be important

along with treatment of secondary complications.

Suchitra Kumari Biswal et al., Ophthalmol Case Rep 2019, Volume 3

Suchitra Kumari Biswal has completed her MS ophthalmology from Andhra Medical College. Now she is doing her

senior residency from Andhra Medical College.

BIOGRAPHY