|Year : 2019 | Volume
| Issue : 12 | Page : 2063
Doughnut osteoma: A rare case of circumpapillary choroidal osteoma
Manit Sanjay Agrawal, Madhu Kumar, Vinaya Kumar Konana, Jayamadhury Gudimetla, Ashok Kanakamedla, Parag Anil Bagad
Department of Ophthalmology, Sankara Eye Hospital, Guntur, Andhra Pradesh, India
|Date of Web Publication||22-Nov-2019|
Dr. Manit Sanjay Agrawal
Department of Ophthalmology, Sankara Eye Hospital, Guntur Vijayawada Express Highway, Pedakakani, Guntur - 522 509, Andhra Pradesh
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Agrawal MS, Kumar M, Konana VK, Gudimetla J, Kanakamedla A, Bagad PA. Doughnut osteoma: A rare case of circumpapillary choroidal osteoma. Indian J Ophthalmol 2019;67:2063
|How to cite this URL:|
Agrawal MS, Kumar M, Konana VK, Gudimetla J, Kanakamedla A, Bagad PA. Doughnut osteoma: A rare case of circumpapillary choroidal osteoma. Indian J Ophthalmol [serial online] 2019 [cited 2020 Sep 24];67:2063. Available from: http://www.ijo.in/text.asp?2019/67/12/2063/271386
A 31-year-old male was referred for a choroidal mass in his left eye. Fundus examination revealed an orange-red elevated choroidal lesion around the optic disc with area of atrophy over macula. This was suggestive of calcified choroidal osteoma with decalcification at centre [Figure 1]a. Ocular Coherence Tomography (OCT) showed Hypo-reflective cavernous spaces suggestive of spongy bone in calcified region, whereas, reflective pattern was seen from the posterior scleral tissue in decalcified region [Figure 1]b. Choroidal osteoma is a benign ossifying tumour of choroid. It is usually located in the juxtapapillary or peripapillary area., Our case demonstrates a rare case of doughnut-shaped circumpapillary choroidal osteoma.
|Figure 1: (a) Colour montage of left eye showing orange-red doughnut-shaped circumpapillary choroidal osteoma (black arrow) with decalcification in the centre (white arrow); (b) Swept-source optical coherence tomography showing choroidal lesion with multiple hyperreflective dots surrounded by hypo-reflective cavernous spaces suggestive of spongy bone (white dotted line) while, lamellar reflective pattern from posterior scleral tissue with loss of photoreceptors and outer retinal thinning is seen in the decalcified region (white arrows)|
Click here to view
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Shields CL, Shields JA, Augsburger JJ. Choroidal osteoma. Surv Ophthalmol 1988;33:17-27.
Navajas EV, Costa RA, Calucci D, Hammoudi DS, Simpson ER, Altomare F. Multimodal fundus imaging in choroidal osteoma. Am J Ophthalmol 2012;153:890-5.
Alameddine RM, Mansour AM, Kahtani E. Review of choroidal osteomas. Middle East Afr J Ophthalmol 2014;21:244-50.
] [Full text]