Choroidal osteoma: Treatment of associated subretinal neovascular membranes

M. Gilbert Grand, Dean B. Burgess, Lawrence J. Singerman, Joseph B.S. Ramsey

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

Treatment of subretinal neovascular membranes associated with choroidal osteomas is described. Early recognition of the membranes, aided by Amsler grid self-assessment, allowed initiation of photocoagulation treatment while the lesions were still extrafoveal. In one patient, initial treatmentwas performed with the argon green laser and subsequent treatments were applied with the krypton red laser. In two other patients, argon-laser photocoagulation alone was used to destroy subretinal neovascular membranes. Post-treatment evaluations in one patient demonstrated persistence or recurrence ofneovascular tissue and allowed for prompt retreatment. Follow-up evaluations have shown that treatment resulted in persistent destruction of the subretinal neovascular membrane in two patients, with stabilization of vision at 20/25- and 20/100, respectively. In one patient, vision has been stable at 20/50 for 6 months; however, a recurrent subretinal neovascular membrane developed, encroaching through the fovea with resultant visual loss to 20/60.

Original languageEnglish
Pages (from-to)84-89
Number of pages6
JournalRetina
Volume4
Issue number2
DOIs
StatePublished - Jan 1 1984

Keywords

  • Amsler grid
  • Argon laser
  • Choroidal osteoma
  • Computerized tomography
  • Fluorescein angiography
  • Krypton-red laser
  • Neovascular membrane
  • Photocoagulation
  • Serous detachment
  • Ultrasonography

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