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Alice Yang Zhang, Mary E Aronow; Choroidal Osteoma in the Pediatric Population. Invest. Ophthalmol. Vis. Sci. 2017;58(8):1786.
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© ARVO (1962-2015); The Authors (2016-present)
Choroidal osteoma is a rare, benign intraocular tumor that is most commonly diagnosed in young adult females. The clinical features of choroidal osteoma occurring, specifically in the pediatric population, have not yet been well described in a large series. The purpose of this work is to present a diagnostically challenging case of bilateral choroidal osteoma in a young child, and to review prior published cases of choroidal osteoma in the pediatric population.
A case report of a 7-year old male with bilateral choroidal osteoma is presented, complete with color fundus photography, fluorescein angiography, enhanced depth imaging optical coherence tomography, and ultrasonography. This case is accompanied by a retrospective review of prior published cases of choroidal osteoma occurring in childhood (defined as age 18 years or younger). A PubMed search of the English language literature using search terms “choroidal osteoma” and “child” was used to identify prior published cases.
A total of 71 cases of choroidal osteoma diagnosed in childhood between the years 1978-2016 were identified in PubMed. The majority of cases (n = 45, 63%) were reported in females. The median age at diagnosis was 11 years (range: 0-18 years). Bilateral choroidal osteoma was found in 27 individuals (38%). Syndromes such as Linear Nevus Sebaceus of Jadassohn (n = 9) and histiocytosis X (n = 2) were present in 11 individuals (15%). Median visual acuity in the affected eye was 20/60, with a median follow-up time of 62 months (range: 0-264 months).
This case illustrates the typical clinical features of choroidal osteoma in a young child. Bilateral choroidal osteoma may be more common in the pediatric population.
This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.
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