medigraphic.com
ISSN 1561-3070 (Electronic)

2012, Number 1

<< Back

Rev Cub Oftal 2012; 25 (1)

Choroidal osteoma secondary to ocular trauma

Rúa MR, Pérez GD, Alemañy RE, Santana AER, Estévez MY, Chang HM

Language: Spanish
References: 18
Page:
PDF size: 186.33 Kb.


ABSTRACT

The choroidal osteoma is a benign bony tumor described for the first time in 1978 by Gass and collaborators. It is generally unilateral, with juxtapapillary localization and more frequent in young adult females. It presents unknown etiology, but it is associated to different factors as inflammatory processes, congenital malformations, hormonal alterations and ocular traumas among others. The patient was a 54 year-old woman with a personal history of rheumatic fibromyalgia (osteoarthrosis and osteoporosis) and hypertension. Her ophthalmological antecedent showed myopia and arteriolosclerotic retinopathy. At the beginning of the year, she suffered a traffic accident and was injured in her limbs and periocular region. After this, she began feeling blurred vision of the right eye and she went to our service 6 months later. She was performed an ophthalmologic exam. It was found that the right eye had visual acuity of 0.4, and after correction it reached 1.0 .Funduscopy revealed vascular thinness, incomplete posterior vitreous detachment, and a white-orange lesion of 3 papillary diameters that involved inferior temporary arcade with well-defined borders. An angiography was performed, which showed sustained hyperfluorescence and non neovascularization; and the optic coherence tomography revealed a halo of serous retinal detachment. Additionally, the ocular ultrasound yielded a high reflectivity echogenic image that involves choroids with posterior acoustic shadow. It is for this reason that we affirm the traumatic etiology of the lesion. This is a rare pathology that should be diagnosed by imaging techniques. Notably, it is secondary to an ocular trauma.


REFERENCES

  1. Gass JDM, Guerry RK, Jack RL, Harris G. Choroidal Osteoma. Arch Ophthalmol. 1978 [citado ago 2011];96(3). Disponible en: http://archopht.ama-assn.org/cgi/content/abstract/96/3/428

  2. Shields CL, Sun H, Demirci H, Shields JA. Factors predictive of tumor growth, tumor decalcification, choroidal neovascularization, and visual outcome in 74 eyes with choroidal osteoma. Arch Ophthalmol. 2005 [citado ago 2011];123(12). Disponible en: http://archopht.ama-assn.org/cgi/content/abstract/123/12/1658

  3. Gass JD. New observations concerning choroidal osteomas. Int Ophthalmol. 1979 [citado ago 2011];1(2). Disponible en: http://www.springerlink.com/content/j42t8777577405r6/

  4. Foster BS, Fernández-Suntay JP, Dryja TP, Jakobiec FA, D´Amico DJ. Surgical removal and histopathologic findings of a subfoveal neovascular membrane associated with choroidal osteoma. Arch Ophthalmol. 2003 [citado ago 2011];121(2). Disponible en: http://archopht.ama-assn.org/cgi/content/full/121/2/273

  5. Murthy R, Das T, Gupta A. Bilateral choroidal osteoma with optic atrophy. J AAPOS. 2010 [citado ago 2011];14(5). Disponible en: http://hinari-gw.who.int/whalecomwww.sciencedirect.com/whalecom0/science?_ob=ArticleURL&_udi=B6WH5-51BBFC4-F&_user=2778716&_coverDate=10%2F31%2F2010&_rdoc=14&_fmt=high&_orig=browse&_origin=browse&_zone=rslt_list_item&_srch=doc-info%28%23toc%236841%232010%23999859994%232552791%23FLA%23display%23Volume%29&_cdi=6841&_sort=d&_docanchor=&_ct=25&_acct=C000049744&_version=1&_urlVersion=0&_userid=2778716&md5=2ee26a74e6dffb1e15a25ee2d7236e65&searchtype=a

  6. Romero P, Méndez I, Salvat M. Choroidal osteoma. The EVRS Educational Electronic Journal. 2005 [citado ago 2011];1(1). Disponible en: http://www.evrs.org/memon/pages/2005_EEE_Vol1/Article4.pdf

  7. Pérez Aragón AJ, Toribio García M, Delgado Alonso E, Pacheco Sánchez-Lafuente J, Moreno Galdó MF. Osteoma coroideo y neovascularización coroidea: causa rara de ceguera en el adolescente. Anales de Pediatría. 2010 [citado ago 2011];72(6). Disponible: http://www.elsevier.es/revistas/ctl_servlet?_f=7064&ip=201.220.215.11&articuloid=13151333&revistaid=37

  8. Shields CL, Brown GC, Sharma S, Shields JA. Choroidal Osteoma. En: Ryan SJ. Retina. 4ta ed. Vol. 1. Maryland Heights:Elsevier Mosby; 2004. p. 819-27.

  9. Padro-Serrano A, Camas Benítez JT. Neovascularización subretiniana asociada con osteoma coroideo. Rev Mex Oftalmol. 2006 [citado ago 2011];80(3). Disponible en: http://www.medigraphic.com/pdfs/revmexoft/rmo-2006/rmo063j.pdf

  10. Joffe L, Shields JA, Fitzgerald JR. Osseous choristoma of the choroid. Arch Ophthalmol. 1978 [citado ago 2011];96(10):1809-1812. Disponible en: http://archopht.ama-assn.org/cgi/content/abstract/96/10/1809

  11. Jumaat BH, Dahalan A, Mohamad M. Bone in the eye. Am J Ophthalmol. 2003 [citado ago 2011];135(2). Disponible en: http://linkinghub.elsevier.com/retrieve/pii/S0002939402018925

  12. Ide T, Ohguro N, Hayashi A, Yamamoto S, Nakagawa Y, Nagae Y et al. Optical coherence tomography patterns of choroidal osteoma. Am J Ophthalmol. 2000 [citado ago 2011];130(3). Disponible en: http://linkinghub.elsevier.com/retrieve/pii/S0002939400005031

  13. Fukasawa A, Iijima H. Optical coherence tomography of choroidal osteoma. Am J Ophthalmol. 2002 [citado ago 2011];133(3). Disponible en: http://cat.inist.fr/?aModele=afficheN&cpsidt=13559825

  14. Song JH, Bae JH, Rho MI, Lee SC. Intravitreal bevacizumab in the management of subretinal fluid associated with choroidal osteoma. Retina. 2010 [citado ago 2011];30(6). Disponible en: http://hinari-gw.who.int/whalecomovidsp.tx.ovid.com/whalecom0/sp-3.3.0b/ovidweb.cgi?&S=ACABFPCOCLDDEMJHNCCLCEOBHHDLAA00&Link+Set=S.sh.15.16.21.25.32|15|sl_10

  15. Shields CL, Materin MA, Mehta S, Foxman BT, Shields JA. Regression of extrafoveal choroidal osteoma following photodynamic therapy. Arch Ophthalmol. 2008 [citado ago 2011];126(1). Disonible en: http://archopht.ama-assn.org/cgi/content/full/126/1/135

  16. Aylward GW, Chang TS, Pautler SE, Gass JD. A long-term follow-up of choroidal osteoma. Arch Ophthalmol. 1998 [citado ago 2011];116(10). Disponible en: http://preview.ncbi.nlm.nih.gov/pubmed/9790633

  17. Sayanagui K, Pelayes DE, Kaiser PK, Singh AD. 3D Spectral domain optical coherence tomography findings in choroidal tumors. Eur J Ophthalmol. 2010 [citado ago 2011];126(1). Disponible en: http://archopht.ama-assn.org/cgi/content/full/126/1/135

  18. Pandey N, Guruprasad A. Choroidal osteoma with choroidal neovascular membrane: Successful treatment with intravitreal bevacizumab. Clinical Ophthalmology. 2010 [citado ago 2011];4. Disponible en: http://hinari-gw.who.int/whalecomwww.dovepress.com/whalecom0/choroidal-osteoma-with-choroidal-neovascular-membrane-successful-treat-peer-reviewed-article-OPTH




2020     |     www.medigraphic.com