AI Article Synopsis
- The study reports on a case of a 13-year-old girl with a growing choroidal osteoma, identified through multimodal imaging methods, including fundus autofluorescence.
- The patient had a visible lesion in her left macula, but her vision remained 20/20, and imaging showed characteristics consistent with bone, which increased in size over the year.
- Normal fundus autofluorescence indicated healthy retinal pigment epithelium, which could help predict the osteoma's growth and inform future examination schedules, particularly for younger patients.
Article Abstract
Purpose: To describe multimodal imaging findings, including fundus autofluorescence, in a patient with a growing choroidal osteoma.
Methods: Case report.
Results: A 13-year-old girl presented with an asymptomatic lesion in the superonasal macula of her left eye. Vision was correctable to 20/20 in both eyes, and the only significant finding on examination was the yellow flat lesion in the left macula. It measured 0.8-disk areas in size. Ocular coherence tomography showed a space occupying lesion in the choroid that had horizontal hyper-reflective lines consistent with cancellous bone. Re-examination in a year showed enlargement. Fundus autofluorescence showed no abnormalities in either eye. Ultrasonography showed a hyper-reflective lesion with associated shadowing that was consistent with a choroidal osteoma.
Conclusion: Normal fundus autofluorescence was seen in this young girl with a growing choroidal osteoma. Fundus autofluorescence is a proxy for the health of the retinal pigment epithelium. Normal retinal pigment epithelium is the only factor found to be predictive of future growth of a choroidal osteoma. This noninvasive test may prove useful as a guide to determine frequency of examinations especially in younger patients who might be prone to more rapid growth.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8542083 | PMC |
| http://dx.doi.org/10.1097/ICB.0000000000000874 | DOI Listing |
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