GMS Ophthalmology Cases (Feb 2022)

Multimodal imaging in choroidal osteomas

  • Goel, Sugandha,
  • Das, Sudipta,
  • Rijey, A. Joash,
  • Das, Debmalya

DOI
https://doi.org/10.3205/oc000194
Journal volume & issue
Vol. 12
p. Doc07

Abstract

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Choroidal osteoma is a rare benign tumor which is found in the posterior pole of the eye. We herein describe multimodal imaging in two cases of choroidal osteoma. Fundus of our first case showed a yellowish-orange colored subretinal lesion at the posterior pole. Multicolor imaging highlighted the lesion with greenish hue. Infrared reflectance showed hyporeflectance. A dense echogenic plaque persisting in lower gain was noted on B-scan. FFA showed hyperfluorescence with corresponding hypocyanescence on ICG. EDI OCT showed an increase in choroidal thickness with elevated retinal pigment epithelium. The second case showed choroidal osteoma with active choroidal neovascular membrane that responded to intravitreal injection of Ranibizumab.

Keywords