OCT angiography in choroidal neovascularization secondary to choroidal osteoma

Purpose: To report a case of choroidal osteoma associated with reactivation of choroidal neovascularization (CNV) and development of focal choroidal excavation (FCE). Case Report: A 34-year-old woman with choroidal osteoma complicated by CNV in the right eye for two years presented with deterioration of visual acuity in her right eye. A small retinal hemorrhage accompanied by subretinal fluid (SRF) was seen in the macular area of the right eye. Optical coherence tomography (OCT) showed that the inner retina was intact, and the outer retinal layers had outward displacement. SRF and a wedge-shaped choroidal depression were also seen. This choroidal excavation was not present on previous OCT images. The integrity of the inner retinal layers was maintained, and an optically clear space was present between the neurosensory retina and the retinal pigment epithelium. Conclusion: Choroidal osteoma can be complicated by CNV and FCE could occur as a consequence. Again, FCE can lead to CNV development. This cascade can deteriorate vision and sometime lead to permanent visual loss.

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Contribution of swept-source OCT-angiography in analysis of choroidal osteoma and its quiescent neovascular complications: A case study

American Journal of Ophthalmology Case Reports ◽

10.1016/j.ajoc.2020.100769 ◽

2020 ◽

Vol 19 ◽

pp. 100769

Author(s):

Hussam El Chehab ◽

Corinne Dot ◽

Thibaud Mathis ◽

Emilie Agard ◽

Laurent Kodjikian

Keyword(s):

Oct Angiography ◽

Swept Source ◽

Choroidal Osteoma ◽

Swept Source Oct ◽

Swept Source Oct Angiography

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Oct angiography compared to fluorescein angiography, indocyanine green angiography and optical coherence tomography in the detection of choroidal neovascularization in pigment epithelial detachment

Acta Ophthalmologica ◽

10.1111/aos.14117 ◽

2019 ◽

Vol 97 (7) ◽

Cited By ~ 1

Author(s):

Tauan Oliveira ◽

David Leonardo Cruvinel Isaac ◽

Jose Mauricio Botto de Barros Garcia ◽

Maria Claudia Schelini ◽

Marcos Pereira Avila

Keyword(s):

Optical Coherence Tomography ◽

Indocyanine Green ◽

Fluorescein Angiography ◽

Choroidal Neovascularization ◽

Indocyanine Green Angiography ◽

Oct Angiography ◽

Pigment Epithelial Detachment ◽

Optical Coherence ◽

Pigment Epithelial

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The Role of Optical Coherence Tomography Angiography in Ranibizumab-Treated Choroidal Neovascularization in Choroidal Osteoma

Case Reports in Ophthalmology ◽

10.1159/000508032 ◽

2020 ◽

Vol 11 (2) ◽

pp. 370-376

Author(s):

William J. Carroll ◽

Yi Stephanie Zhang ◽

Lee M. Jampol ◽

Manjot K. Gill

Keyword(s):

Optical Coherence Tomography ◽

Visual Acuity ◽

Choroidal Neovascularization ◽

Optical Coherence Tomography Angiography ◽

Initial Evaluation ◽

Optical Coherence ◽

Choroidal Osteoma ◽

Anti Vegf ◽

Subsequent Response ◽

Intraretinal Fluid

In this study, we report the initial evaluation of choroidal neovascularization (CNV) secondary to choroidal osteoma and subsequent response to anti-vascular endothelial growth factor (anti-VEGF) treatment monitored with optical coherence tomography angiography (OCT-A). A 38-year-old female presented with an initial visual acuity of 20/150 in the left eye. Clinical examination revealed a choroidal osteoma. OCT demonstrated both subretinal and intraretinal fluid. OCT-A was performed and showed CNV. A course of ten treatments with ranibizumab showed an improvement of visual acuity to 20/30–3, improvement of subretinal and intraretinal fluid, as well as attenuation of CNV. Our report demonstrates OCT-A as a useful tool for both initial evaluation of CNV and following treatment response to anti-VEGF therapy.

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