Choroidal Osteomas are benign intraocular tumors, that are classically present in females. Due to retinal pigment epithelium degeneration, significant visual acuity loss can occur. This article discusses a case of bilateral choroidal osteoma in a young boy where the role of anti-VEGF therapy (using ranibizumab) to reduce the permeability of choroidal vessels was evaluated.
Case: A healthy 16-year-old boy was presented to the ophthalmology clinic for bilateral deteriorating vision over the past few weeks. Best corrected visual acuity was 20/200 in the right eye and 20/400 in the left eye Examination Clinical examination indicated orange- yellow plaque in the juxta foveal region of both eyes along with calcification (as indicated in the image) The osteoma appeared like a pseudo-optic nerve on ultrasonography. But Fundus fluorescein angiography (FFA) showed patchy hyper-fluorescence of the…
