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LETTER TO THE EDITOR
Year : 2019  |  Volume : 67  |  Issue : 9  |  Page : 1510

Update: Juxtapapillary choroidal excavation with polypoidal choroidal vasculopathy - An unusual association


Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralya, Chennai, Tamil Nadu, India

Date of Web Publication22-Aug-2019

Correspondence Address:
Dr. Pukhraj Rishi
Ocular Oncology and Vitreoretina, Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralya, Chennai - 600 006, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_487_19

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How to cite this article:
Chowdhury M, Rishi P. Update: Juxtapapillary choroidal excavation with polypoidal choroidal vasculopathy - An unusual association. Indian J Ophthalmol 2019;67:1510

How to cite this URL:
Chowdhury M, Rishi P. Update: Juxtapapillary choroidal excavation with polypoidal choroidal vasculopathy - An unusual association. Indian J Ophthalmol [serial online] 2019 [cited 2019 Sep 19];67:1510. Available from: http://www.ijo.in/text.asp?2019/67/9/1510/265119



Sir,

This is in reference to the article, “Juxtapillary choroidal excavation with polypoidal choroidal vasculopathy: An unusual association” by Chowdhury et al.[1] As an update, we would like to further add that this case was presented at “RISHI symposium,” a pre-conference imaging symposium clubbed with annual meeting of Vitreo-retinal Society of India (VRSI), held on November 29, 2018 at Jaipur and discussed by Dr Bailey Freund (Vitreous Retina Macula Consultants of New York, NY, USA) with inputs from Dr Jose Pulido (Mayo Clinic, Rochester, MN, USA).

The discussants presented an alternative scenario that could result in the clinical situation described. They argued that choroidal osteoma is known to typically present as a unilateral tumor affecting young adult female subjects in the peripapillary location.[2] It is also known that choroidal osteoma may be complicated by choroidal neovascularization (CNV), and the latter may be related to tumor decalcification.[3] Progressive decalcification of choroidal osteoma might play a common pathogenetic role for development of CNV and focal choroidal excavation (FCE) in these patients.[4]

Both the patient profile and the association of “choroidal excavation” with “choroidal aneurysmal dilation” as noted in our reported case are compatible with the hypothesis discussed above and add to the differential diagnosis in such cases.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Chowdhury M, Rishi P. Juxtapillary choroidal excavation with polypoidal choroidal vasculopathy: An unusual association. Indian J Ophthalmol 2019;67:401-3.  Back to cited text no. 1
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2.
Shields CL, Shields JA, Augsburger JJ. Choroidal osteoma. Surv Ophthalmol 1988;33:17-27.  Back to cited text no. 2
    
3.
Shields CL, Sun H, Demirci H, Shields JA. Factors predictive of tumor growth, tumor decalcification, choroidal neovascularization, and visual outcome in 74 eyes with choroidal osteoma. Arch Ophthalmol 2005;123:1658-66.  Back to cited text no. 3
    
4.
Pierro L, Marchese A, Gagliardi M, Introini U, Battaglia PM, Casalino G, et al. Choroidal excavation in choroidal osteoma complicated by choroidal neovascularization. Eye 2017;31:1740-3.  Back to cited text no. 4
    




 

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