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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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REVIEW ARTICLE
Year : 2014  |  Volume : 21  |  Issue : 3  |  Page : 244-250

Review of choroidal osteomas


1 Department of Ophthalmology, American University of Beirut, Beirut, Lebanon
2 King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia

Correspondence Address:
Dr Ahmad M. Mansour
Department of Ophthalmology, American University of Beirut, Beirut
Lebanon
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.134686

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Choroidal osteomas are rare benign ossifying tumors that appear as irregular slightly elevated, yellow-white, juxtapapillary, choroidal mass with well-defined geographic borders, depigmentation of the overlying pigment epithelium; and with multiple small vascular networks on the tumor surface. Visual loss results from three mechanisms: Atrophy of the retinal pigment epithelium overlying a decalcified osteoma; serous retinal detachment over the osteoma from decompensated retinal pigment epithelium, and most commonly from choroidal neovascularization. Recent evidence points to the beneficial effects of intravitreal vascular endothelial growth factor antagonists in improving visual acuity in serous retinal detachment with or without choroidal neovascularization.


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