Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2025 Mar 1;19(2):202-204.
doi: 10.1097/ICB.0000000000001526.

CHOROIDAL OSTEOMA IN AN INFANT

Adrianna E Eder  1 , Karina Bostwick, Jill R Wells, G Baker Hubbard 3rd
Affiliations
Case Reports

CHOROIDAL OSTEOMA IN AN INFANT

Adrianna E Eder et al. Retin Cases Brief Rep. .

Abstract

Purpose: The aim of this study was to describe a case of choroidal osteoma with macular involvement in an infant who was treated with transpupillary thermotherapy.

Methods: This was a case report.

Results: An 11-month-old infant presented for retinopathy of prematurity follow-up examination and was found to have a three disk-diameter round, orange, subretinal, slightly elevated lesion with well-defined margins in the superior macula of the left eye. B-scan ultrasonography showed a slightly elevated, highly reflective choroidal mass with acoustic shadowing. A diagnosis of choroidal osteoma was made. Six months later, repeat examination under anesthesia showed the lesion to be increasing in size and encroaching on the fovea. Given demonstrated growth and the risk of central vision loss, the patient was treated with transpupillary thermotherapy. Subsequent EUAs, over a period of 4 months, have shown complete decalcification with no subsequent growth.

Conclusion: Choroidal osteomas are benign lesions that can be sight-threatening if located in the macula. Transpupillary thermotherapy in this case resulted in complete regression of a sight-threatening extrafoveal choroidal osteoma at 4-month follow-up.

PubMed Disclaimer

References

    1. Shields CL, Shields JA, Augsburger JJ. Choroidal osteoma. Surv Ophthalmol 1988;33:17–27.
    1. Ramtohul P, Pellegrini M, Pichi F, et al. Stellate multiform amelanotic choroidopathy: clinical and multimodal imaging features. Retina 2023;43:1448–1461.
    1. Shields CL, Sun H, Demirci H, Shields JA. Factors predictive of tumor growth, tumor decalcification, choroidal neovascularization, and visual outcome in 74 eyes with choroidal osteoma. Arch Ophthalmol 2005;123:1658–1666.
    1. Shields CL, Materin MA, Mehta S, et al. Regression of extrafoveal choroidal osteoma following photodynamic therapy. Arch Ophthalmol 2008;126:135–137.
    1. Shukla D, Tanawade G, Ramasamy K. Transpupillary thermotherapy for subfoveal choroidal neovascular membrane in choroidal osteoma. Eye (Lond) 2006;20:845–847.

Publication types

LinkOut - more resources