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Choroidal osteoma: observations from a community setting.

Publication ,  Journal Article
Browning, DJ
Published in: Ophthalmology
July 2003

PURPOSE: To determine the characteristics of choroidal osteoma arising from a previously unreported patient population and to document new observations in this condition. DESIGN: Retrospective, observational case series. PARTICIPANTS: Eleven consecutive patients seen from 1986 through 2002 with choroidal osteoma from one community-based retina practice. INTERVENTION: Laser ablation of subretinal neovascularization in two cases and focal laser treatment of retinal pigment epithelial leaks in one case. METHODS: Photographs, fluorescein and indocyanine green angiograms, and clinical records were analyzed. MAIN OUTCOME MEASURES: Demographic variables, visual acuity, complications of laser treatment, growth of lesions, and associated funduscopic changes. RESULTS: Choroidal osteoma from a community setting is more frequently asymptomatic (5/11 cases; 45%) than in previously reported university series, is usually initially misdiagnosed, and is not rare. Light-intensity focal laser photocoagulation for serous retinal detachment unaccompanied by subretinal neovascularization can resolve fluid (1/11 cases; 9%). Laser ablation of secondary subretinal neovascularization stimulates rapid choroidal osteoma vascular remodeling (2/11 cases; 18%) and can cause retina-osteoma venous and arterial anastomoses (1/11 cases; 9%). Spontaneous choroidal hemorrhage unaccompanied by subretinal neovascularization can occur with confinement to the osteoma borders (1/11 cases; 9%). Association of choroidal osteoma with retinitis pigmentosa is reported. CONCLUSIONS: These data on choroidal osteoma natural history and treatment help clinicians managing these lesions. In the community, a higher index of suspicion for choroidal osteoma is warranted.

Duke Scholars

Published In

Ophthalmology

DOI

ISSN

0161-6420

Publication Date

July 2003

Volume

110

Issue

7

Start / End Page

1327 / 1334

Location

United States

Related Subject Headings

  • Visual Acuity
  • Retrospective Studies
  • Retinal Neovascularization
  • Retinal Detachment
  • Osteoma
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Laser Coagulation
  • Indocyanine Green
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Browning, D. J. (2003). Choroidal osteoma: observations from a community setting. Ophthalmology, 110(7), 1327–1334. https://doi.org/10.1016/S0161-6420(03)00458-5
Browning, David J. “Choroidal osteoma: observations from a community setting.Ophthalmology 110, no. 7 (July 2003): 1327–34. https://doi.org/10.1016/S0161-6420(03)00458-5.
Browning DJ. Choroidal osteoma: observations from a community setting. Ophthalmology. 2003 Jul;110(7):1327–34.
Browning, David J. “Choroidal osteoma: observations from a community setting.Ophthalmology, vol. 110, no. 7, July 2003, pp. 1327–34. Pubmed, doi:10.1016/S0161-6420(03)00458-5.
Browning DJ. Choroidal osteoma: observations from a community setting. Ophthalmology. 2003 Jul;110(7):1327–1334.
Journal cover image

Published In

Ophthalmology

DOI

ISSN

0161-6420

Publication Date

July 2003

Volume

110

Issue

7

Start / End Page

1327 / 1334

Location

United States

Related Subject Headings

  • Visual Acuity
  • Retrospective Studies
  • Retinal Neovascularization
  • Retinal Detachment
  • Osteoma
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Laser Coagulation
  • Indocyanine Green