Title

CHOROIDAL OSTEOMA ASSOCIATED WITH PERILESIONAL SUBRETINAL NEOVASCULAR MEMBRANE AND MACULAR EPIRETINAL MEMBRANE: DESCRIPTION OF ONE CASE

Summary

Female, 80 years old, white, come to our service with low visual acuity partially improve in the right eye after cataract surgery whit intraocular lens implantation 10 month ago. Pathological background: hypertension and diabetes.During de exam presented: Visual acuity with correction: 20/50 (right eye), 20/30 (left eye).Topical lens in the right eye. Nuclear cataract (N2) in the left eye.Physiological optical nerve .Macular and extramacular choroidal mass with a epiretinal membrane in the right eye. Precontrast Angiography : deep (apparently choroidal flat) mass, yellowish, with overlying whitish lesions (suggestive of intralesional calcification) located in the superior perimacular temporal area, associated with hemorrhagic injury on its nasal-upper border, and associated with alteration of vascular distortion and wrinkling retinal in macular area (suggestive of macular epiretinal membrane).Angiography:Choroidal plane injury, default hyperfluorescence in window and contrast impregnation. Progressive hyperfluorescence by contrast extravasation at the superior nasal and superior temporal borders of the lesion, suggestive of subretinal neovascularization. OCT: Extra macular and partially macular superior temporal choroidal mass, associated with RPE detachment with low and medium reflective sub-RPE content, suggestive of sub-RPE exudation and/or hemorrhage. Detachment of perilesional serous retinal. Extensive macular epiretinal membrane.Discussion: is anti-vegf the best conduct?

Area

CLINICAL CASE

Authors

Renata de Sousa Carneiro, Rafael Mourao Agostini, Rafaela Queiroz Caixeta Faraj, Luis Felipe da Silva A. Carneiro, Wilton Feitosa de Araujo, Brunelle Francino Nunes, Leticia Torres Elias Silva, Eduardo Quintao