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Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 490-493

A rare case of rapid evolution of choroidal osteoma

1 Department of Vitreoretinal Services, Chaithanya Eye Hospital and Research Institute; Department of Vitreoretinal Services, Chaithanya Innovation in Technology and Eyecare (Research), Trivandrum, Kerala, India
2 Department of Vitreoretinal Services, Chaithanya Eye Hospital and Research Institute, Trivandrum, Kerala, India

Correspondence Address:
Jay U Sheth
Surya Eye Institute and Research Center, Mumbai, Maharshtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_2152_21

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We present a case of a 19-year-old male with a history of right-sided orbital pseudotumor with suspected Burkitt's lymphoma. His best-corrected visual acuity (BCVA) was 6/36 in the right eye (RE) and 6/6 in the left eye (LE). On fundus examination, the patient had a large choroidal osteoma at the posterior pole with macular scarring, along with two additional satellite osteomas inferior and superonasal to the disc in OD, while OS was unremarkable. After conservative management with oral corticosteroids, the patient demonstrated an additional choroidal osteoma lesion nasal to the disc in the OD which had evolved over a period of merely 3 months. To the best of our knowledge, this is the first reported case to document such a rapid development of choroidal osteoma. This case highlights the need for frequent follow-up of these patients for early detection and monitoring of these lesions.

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