CHOROIDAL OSTEOMA IN AN INFANT.

Q3 Medicine
Adrianna E Eder, Karina Bostwick, Jill R Wells, G Baker Hubbard
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引用次数: 0

Abstract

Purpose: The aim of this study was to describe a case of choroidal osteoma with macular involvement in an infant who was treated with transpupillary thermotherapy.

Methods: This was a case report.

Results: An 11-month-old infant presented for retinopathy of prematurity follow-up examination and was found to have a three disk-diameter round, orange, subretinal, slightly elevated lesion with well-defined margins in the superior macula of the left eye. B-scan ultrasonography showed a slightly elevated, highly reflective choroidal mass with acoustic shadowing. A diagnosis of choroidal osteoma was made. Six months later, repeat examination under anesthesia showed the lesion to be increasing in size and encroaching on the fovea. Given demonstrated growth and the risk of central vision loss, the patient was treated with transpupillary thermotherapy. Subsequent EUAs, over a period of 4 months, have shown complete decalcification with no subsequent growth.

Conclusion: Choroidal osteomas are benign lesions that can be sight-threatening if located in the macula. Transpupillary thermotherapy in this case resulted in complete regression of a sight-threatening extrafoveal choroidal osteoma at 4-month follow-up.

婴儿脉络膜骨瘤
目的:描述一例脉络膜骨瘤伴黄斑受累的婴儿病例,该病例接受了经瞳孔热疗法治疗:方法:病例报告:一名 11 个月大的婴儿接受早产儿视网膜病变随访检查,发现左眼黄斑上部有一个三盘直径的圆形、橙色、视网膜下、稍隆起的病变,边缘清晰。B 超扫描显示,脉络膜肿块略微隆起,反射性强,伴有声影。诊断结果为脉络膜骨瘤。六个月后,麻醉下的重复检查(EUA)显示病变在增大,并侵蚀到了眼窝。考虑到病变的增长和中心视力丧失的风险,患者接受了经瞳孔热疗(TTT)。随后四个月的EUA检查显示,肿瘤完全脱钙,没有再生长:结论:脉络膜骨瘤是一种良性病变,如果位于黄斑部,可能会威胁视力。本病例中的 TTT 术后随访四个月,威胁视力的眼底脉络膜外骨瘤完全消退。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Retinal Cases and Brief Reports
Retinal Cases and Brief Reports Medicine-Ophthalmology
CiteScore
2.10
自引率
0.00%
发文量
342
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