Dr.Swestaram Bonagiri

None, Dr.Nikhila Sai Nallapati

Abstract

Choroidal osteoma are rare , benign ossifying tumour of unknown etiology characterised by formation of mature cancellous bone within choroid . It typically occurs in healthy young females. In majority of cases choroidal osteoma is unilateral. Here vision loss is due to associated choroidal neovascularization, photo receptor loss , choroid and RPE atrophy and decalcification. We describe a case of 29yrs old female patient presented with diminution of vision in right eye since 4 months. On examination anterior segment of both eyes is within normal limits.On dilated fundus examination , in right eye ,yellowish white to orange red, elevated lesions with distinct margins present in posterior pole with pigment clumps and haemorrhages . B-scan showed hyperdense choroidal plaque in right eye. In OCT macula tumour reflecting pattern with subretinal fluid and RPE thinning of right eye is seen. No other ocular or systemic diseases.