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November 1990

Spontaneous Involution of a Choroidal Osteoma

Author Affiliations

Rochester, Minn

Arch Ophthalmol. 1990;108(11):1517-1518. doi:10.1001/archopht.1990.01070130019009

To the Editor.  —Spontaneous involution, a rarely observed occurrence in a choroidal osteoma, was noted in the eye of a 25-year-old woman who had been followed up for 8 years.

Report of a Case.  —In 1978 a 17-year-old white woman noted blurred vision in her right eye. A yellow-red choroidal lesion measuring 3×4 disc diameters was found in the right posterior pole. It involved the superior half of the macula, reducing visual acuity to 20/30 (Fig 1, top). Ultrasonographic (Fig 1, bottom) and computed tomographic findings supported the clinical diagnosis of a choroidal osteoma.In 1979, while the patient participated in a basketball game, her visual acuity suddenly decreased to 20/60 due to the development of a serous retinal detachment associated with a hemorrhage under the retinal pigment epithelium overlying the center of the lesion (Fig 2, top). The hemorrhage and detachment slowly resolved, leaving rather mottled-appearing retinal pigment epithelium

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