Unilateral Choroidal Osteoma with Evidence of Choroidal Neovascularization Based on Ocular Coherence Tomography Angiography

Purpose: Choroidal osteoma is a rare tumor which features intraocular bone formation. This tumor can be complicated by choroidal neovascularization which is a cause of impaired vision in this condition. We present a case of choroidal osteoma with choroidal neovascularization as a complication. Methods: Case report with clinical and angiographic correlation. Results: A 16 year old female presented with a choroidal osteoma in the left eye complicated by choroidal neovascularization. The patient was treated with Bevacizumab; an intravitreal anti-Vascular Endothelial Growth Factor (Anti-VEGF). Following treatment there was improvement in vision as well as resolution of the choroidal neovascular membrane. Conclusion: We present a case of choroidal osteoma with choroidal neovascular membranes. Subfoveal choroidal neovascularization (CNV) associated with choroidal osteoma may be safely treated with bevacizumab. Larger studies are required to fully evaluate the management and long-term outcomes of anti-VEGF therapy for CNV associated with choroidal osteoma. Disclosures: The authors have no financial or proprietary disclosures or conflict of interest with this submission. The views expressed in this submission do not reflect the views, opinions, or policies of the Army or any branch of the Department of Defense.