Unilateral Choroidal Osteoma with Subretinal Fluid – Treated with Laser Photocoagulation : A Case Report

單側脈絡膜骨瘤併視網膜下積水以雷射光凝固法治療－病例報告

10.6440/TZUCMJ.200012.0281

蕭裕泉(Yu-Chuan Hsiao)；楊中美(Chung-May Yang)；李欣叡(Hsin-Jui Lee)；林思源(Szu-Yuan Lin)；林素玲(Shun-Ling Lin)

脈絡膜骨瘤 ； 雷射光凝固法 ； 漿液性積水 ； choroidal osteoma ； laser photocoagulation ； serous detachment

慈濟醫學雜誌

12卷4期（2000 / 12 / 01）

281 - 285

英文

脈絡膜骨瘤是一種少見、後天性、位於視神經旁的腫瘤，常是單側性也可以是雙側性，好發於健康女性。脈絡膜骨瘤常因造成黃斑部的漿液性積水或視網膜下新生血管使視力下降。我們報告一位29歲女性，因單側性的脈絡膜骨瘤合併黃斑部的漿液積水造成視力下降至20/200。我們以電射光凝固法治療後，黃斑部的漿液性積水消失，病人的視力進步。雷射光凝固法可以用來治療因脈絡膜骨瘤合併黃斑部的漿液性積水所造成的視力下降。

Choroidal osteoma, a rare, and juxtapapillary tumor, generally occurs unilaterally or bilaterally in healthy young female patients. The tumor may affect vision by extending to the macula area, producing macula involved serous detachment, or inducing subretinal neovascularization. We report a 29-year-old female patient with unilateral choroidal osteoma. Visual acuity was 20/200 in the left eye. Fundus examinations of the left eye showed a well-defined, pale orange, and slightly elevated choroidal lesion. Serous detachment of the macula was also noted. After treating with laser photocoagulation on the tumor surface, the subretinal fluid subsided and the patient’s visual acuity improved. Laser photocoagulation may be effective in decreasing subretinal fluid in eyes affected by choroidal osteoma.