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Diagnosis and Monitoring of Choroidal Osteoma through Multimodal Imaging

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posted on 2015-12-22, 12:07 authored by Theodoros Empeslidis, Usman Imrani, Vasileios Konidaris, Fizza Mushtaq, Pandelis Fotiou, Periyasami Kumar, Somnath Banerjee, Konstantinos T. Tsaousis
A 16-year-old Caucasian female with a 6-month history of decreased visual acuity and metamorphopsia in the left eye is reported. The fundus of the left eye revealed a well defined lesion in the macula region. Diagnosis of choroidal osteoma was established using spectral domain optical coherence tomography (OCT), fundus fluorescein angiography (FFA), indocyanine green angiography (ICG), and B-scan ultrasonography. Subretinal fluid (SRF) and retinal pigment epithelium (RPE) detachment were noted in the absence of obvious classic choroidal neovascularisation (CNV). The patient was followed up for over 13 months without any treatment in the interim and the lesion was noted to have enlarged but visual acuity and SRF had remained stable. We report an interesting case where subretinal fluid was noted in the absence of evident choroidal neovascularisation and provide an example of the imaging modalities application in the era of “optical biopsy.”

History

Citation

Case Reports in Medicine Volume 2014 (2014), Article ID 393804, 4 pages

Version

  • VoR (Version of Record)

Published in

Case Reports in Medicine Volume 2014 (2014)

Publisher

Hindawi Publishing Corporation

issn

1687-9627

eissn

1687-9635

Acceptance date

2014-07-22

Copyright date

2014

Available date

2015-12-22

Publisher version

http://www.hindawi.com/journals/crim/2014/393804/

Language

en

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