Unilateral Choroidal Osteoma with Choroidal Neovascularization

A 16 year old female presented to the New England Eye Center with a chief complaint of decreased vision and metamorphopsia in the left eye. The symptoms started three months prior to presentation and remained unchanged from onset. There were no other visual complaints at the time of presentation. She denied any prior ocular history; this was her first eye exam. On review of systems, there was no history of recent or chronic illness such as diabetes mellitus, no steroid use, no recent medication use, no prior eye disease, and no prior history of surgery. The patient also denied any family history of significant vision loss or eye pathology.