Bilateral choroidal osteomas with polypoidal choroidal vasculopathy

Howard F. Fine; Daniela C Ferrara; I-Van Ho; Beatriz Takahashi; Lawrence A. Yannuzzi

doi:10.1097/ICB.0b013e318159e7e9

Bilateral choroidal osteomas with polypoidal choroidal vasculopathy

Howard F. Fine, Daniela C Ferrara, I-Van Ho, Beatriz Takahashi, Lawrence A. Yannuzzi

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: A choroidal osteoma is a benign osseous tumor typically arising in the juxtapapillary or peripapillary area. The major cause of visual loss is secondary to the development of a subretinal neovascular membrane. The pattern of neovascularization that develops with osteomas has been typically described as classic choroidal neovascularization (CNV).

METHODS: Interventional case report.

RESULTS: A case of bilateral polypoidal choroidal neovascularization (PCV) occurring with bilateral choroidal osteomas is described in a 55-year-old Japanese woman. To our knowledge, this variant form of vasogenesis has not previously been described in association with this tumor. Clinical, angiographic, and optical coherence tomographic features are discussed. Subretinal hemorrhage in the left eye from polypoidal neovascularization in the macula was successfully treated with photodynamic therapy.

CONCLUSIONS: The association between choroidal osteoma and PCV may have a better prognosis than that with classic CNV. Indocyanine green angiography is a useful tool in characterizing the nature of the neovascularization.

Original language	English
Pages (from-to)	15-7
Number of pages	3
Journal	Retinal Cases and Brief Reports
Volume	2
Issue number	1
DOIs	https://doi.org/10.1097/ICB.0b013e318159e7e9
Publication status	Published - 2008
Externally published	Yes

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Journal Article

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10.1097/ICB.0b013e318159e7e9

Cite this

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title = "Bilateral choroidal osteomas with polypoidal choroidal vasculopathy",

abstract = "BACKGROUND: A choroidal osteoma is a benign osseous tumor typically arising in the juxtapapillary or peripapillary area. The major cause of visual loss is secondary to the development of a subretinal neovascular membrane. The pattern of neovascularization that develops with osteomas has been typically described as classic choroidal neovascularization (CNV).METHODS: Interventional case report.RESULTS: A case of bilateral polypoidal choroidal neovascularization (PCV) occurring with bilateral choroidal osteomas is described in a 55-year-old Japanese woman. To our knowledge, this variant form of vasogenesis has not previously been described in association with this tumor. Clinical, angiographic, and optical coherence tomographic features are discussed. Subretinal hemorrhage in the left eye from polypoidal neovascularization in the macula was successfully treated with photodynamic therapy.CONCLUSIONS: The association between choroidal osteoma and PCV may have a better prognosis than that with classic CNV. Indocyanine green angiography is a useful tool in characterizing the nature of the neovascularization.",

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doi = "10.1097/ICB.0b013e318159e7e9",

language = "English",

volume = "2",

pages = "15--7",

journal = "Retinal Cases and Brief Reports",

issn = "1935-1089",

publisher = "Lippincott Williams & Wilkins",

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T1 - Bilateral choroidal osteomas with polypoidal choroidal vasculopathy

AU - Fine, Howard F.

AU - Ferrara, Daniela C

AU - Ho, I-Van

AU - Takahashi, Beatriz

AU - Yannuzzi, Lawrence A.

PY - 2008

Y1 - 2008

N2 - BACKGROUND: A choroidal osteoma is a benign osseous tumor typically arising in the juxtapapillary or peripapillary area. The major cause of visual loss is secondary to the development of a subretinal neovascular membrane. The pattern of neovascularization that develops with osteomas has been typically described as classic choroidal neovascularization (CNV).METHODS: Interventional case report.RESULTS: A case of bilateral polypoidal choroidal neovascularization (PCV) occurring with bilateral choroidal osteomas is described in a 55-year-old Japanese woman. To our knowledge, this variant form of vasogenesis has not previously been described in association with this tumor. Clinical, angiographic, and optical coherence tomographic features are discussed. Subretinal hemorrhage in the left eye from polypoidal neovascularization in the macula was successfully treated with photodynamic therapy.CONCLUSIONS: The association between choroidal osteoma and PCV may have a better prognosis than that with classic CNV. Indocyanine green angiography is a useful tool in characterizing the nature of the neovascularization.

AB - BACKGROUND: A choroidal osteoma is a benign osseous tumor typically arising in the juxtapapillary or peripapillary area. The major cause of visual loss is secondary to the development of a subretinal neovascular membrane. The pattern of neovascularization that develops with osteomas has been typically described as classic choroidal neovascularization (CNV).METHODS: Interventional case report.RESULTS: A case of bilateral polypoidal choroidal neovascularization (PCV) occurring with bilateral choroidal osteomas is described in a 55-year-old Japanese woman. To our knowledge, this variant form of vasogenesis has not previously been described in association with this tumor. Clinical, angiographic, and optical coherence tomographic features are discussed. Subretinal hemorrhage in the left eye from polypoidal neovascularization in the macula was successfully treated with photodynamic therapy.CONCLUSIONS: The association between choroidal osteoma and PCV may have a better prognosis than that with classic CNV. Indocyanine green angiography is a useful tool in characterizing the nature of the neovascularization.

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DO - 10.1097/ICB.0b013e318159e7e9

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SN - 1935-1089

VL - 2

SP - 15

EP - 17

JO - Retinal Cases and Brief Reports

JF - Retinal Cases and Brief Reports

IS - 1

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Bilateral choroidal osteomas with polypoidal choroidal vasculopathy

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