1. History
  2. Exam
  3. Photos
  4. Diagnosis
  5. Teaching Points
  6. Comments

Case 50 Teaching Points

  • Benign choroidal osseous neoplasm
  • Presents in mid-teens to late 20's
  • Diagnosis based on clinical history, fundus exam, as well as ultrasound, which shows strong shadowing of the signal by the intralesional calcium
  • Overlying retinal pigment epithelial and sensory retina disruption
  • Choroidal neovascularization is the most serious complication
  • No known treatment
  • Management consists of observation and treatment of choroidal neovascularization

References

Gass JD, Guerry RK, Jack RL, Harris G. Choroidal osteoma. Arch Ophthalmol 1978;96:428-435.

Shields CL, Shields JA, Augsburger JJ. Choroidal osteoma. Surv Ophthalmol 1988;33:17-27.

Aylward GW, Chang TS, Pautler SE, Gass JD. Links A long-term follow-up of choroidal osteoma. Arch Ophthalmol 1998;116:1337-1341.

Last Modified: Friday, 27-Jun-2008 12:37:31 EDT