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Case Reports in Medicine
Volume 2014 (2014), Article ID 393804, 4 pages
http://dx.doi.org/10.1155/2014/393804
Case Report

Diagnosis and Monitoring of Choroidal Osteoma through Multimodal Imaging

Leicester Royal Infirmary, University Hospitals of Leicester, Ophthalmology Department, Medical Retina, Infirmary Square, Leicester, Leicestershire LE1 5WW, UK

Received 18 May 2014; Revised 21 July 2014; Accepted 22 July 2014; Published 8 September 2014

Academic Editor: Marco A. Zarbin

Copyright © 2014 Theodoros Empeslidis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 16-year-old Caucasian female with a 6-month history of decreased visual acuity and metamorphopsia in the left eye is reported. The fundus of the left eye revealed a well defined lesion in the macula region. Diagnosis of choroidal osteoma was established using spectral domain optical coherence tomography (OCT), fundus fluorescein angiography (FFA), indocyanine green angiography (ICG), and B-scan ultrasonography. Subretinal fluid (SRF) and retinal pigment epithelium (RPE) detachment were noted in the absence of obvious classic choroidal neovascularisation (CNV). The patient was followed up for over 13 months without any treatment in the interim and the lesion was noted to have enlarged but visual acuity and SRF had remained stable. We report an interesting case where subretinal fluid was noted in the absence of evident choroidal neovascularisation and provide an example of the imaging modalities application in the era of “optical biopsy.”