Dr.Sugaranjini G, S21607
Choroidal osteoma is a rare, unilateral, benign ossifying tumor known to affect young females. Median age of presentation is 25 years and is classically seen in the juxtapapillary or macular region as an orange — yellow elevated lesion with well defined borders, situated deep to the retinal pigment epithelium (RPE). Visual loss in choroidal osteoma is predominantly due to choroidal neovascular membrane( CNVM) .
We hereby report a unique case of choroidal Osteoma with CNVM with associated manifestation of pachychoroid with focal choroidal excavation. The presence of pachychoroid may also be the cause of CNVM associated with choroidal osteoma, which we have demonstrated through Swept source OCT and OCT-Angiography. Swept source OCT helps in understanding the pachychoroid spectrum better because of longer wavelength and deeper penetration.
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