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Azimizadeh M, Maryam Hosseini S, Babaei E. Focal Choroidal Excavation in a Case of Choroidal Osteoma Associated with Choroidal Neovascularization. JOVR [Internet]. 2020Jul.29 [cited 2024Jul.17];15(3):419–423. Available from: https://knepublishing.com/index.php/JOVR/article/view/7461

https://doi.org/10.18502/jovr.v15i3.7461

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authors

  • Mahdieh Azimizadeh

    Mahdieh Azimizadeh

    Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  • Seyedeh Maryam Hosseini

    Seyedeh Maryam Hosseini

    Retina Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  • Esmaeil Babaei

    Esmaeil Babaei

    Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
    https://orcid.org/0000-0001-8490-3589

Published Date

  • Jul 29, 2020
This journal is publishing all the articles under Creative Commons Attribution License CC BY 4.0.

Focal Choroidal Excavation in a Case of Choroidal Osteoma Associated with Choroidal Neovascularization

Journal of Ophthalmic and Vision Research (JOVR) / July–September 2020, Volume 15, Issue 3 / Pages 419–423

Abstract

Purpose: To report a case of choroidal osteoma associated with reactivation of choroidal neovascularization (CNV) and development of focal choroidal excavation (FCE).


Case Report: A 34-year-old woman with choroidal osteoma complicated by CNV in the right eye for two years presented with deterioration of visual acuity in her right eye. A small retinal hemorrhage accompanied by subretinal fluid (SRF) was seen in the macular area of the right eye. Optical coherence tomography (OCT) showed that the inner retina was intact, and the outer retinal layers had outward displacement. SRF and a wedge-shaped choroidal depression were also seen. This choroidal excavation was not present on previous OCT images. The integrity of the inner retinal layers was maintained, and an optically clear space was present between the neurosensory retina and the retinal pigment epithelium.


Conclusion: Choroidal osteoma can be complicated by CNV and FCE could occur as a consequence. Again, FCE can lead to CNV development. This cascade can deteriorate vision and sometime lead to permanent visual loss.

Keywords:

Bevacizumab, Choroidal Excavation, Choroidal Neovascularization, Choroidal Osteoma, Multifocal

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