A 46-year-old male patient presented to us with blurring of vision OS since 2 months. His BCVA was 6/6, N6 in OD and 6/12, N8 in OS at presentation. Fundus examination of OS showed an irregular elevated, yellowish-white choroidal lesion with welldefined geographic borders involving the inferior macula with areas of subretinal hemorrhage at and above the fovea suggestive associated choroidal neovascular membrane. SD-OCT showed a dense hyper-reflective choroidal mass with significant widening of the choroidal layers. B-scan ultrasonography revealed high-spike echoes through the lesion suggesting choroidal osteoma. FFA in that area showed staining conforming to the diagnosis of choroidal osteoma with a secondary CNVM. Patient underwent treatment with multiple antiVEGF injections and standard fluence photodynamic therapy (PDT). The patient developed an acquired FCE after 17 months of treatment [].
A 21-year-old male presented with distortion of vision in OS noted accidently since 8 days with BCVA of 6/6;N6 in both eyes. Fundus examination revealed an extrafoveal grayish membrane with overlying hemorrhages. Enhanced depth imaging showed pachychoroid with thickness of 443 μm. SD-OCT revealed CNVM associated with FCE. AntiVEGF monotherapy was given with complete resolution of CNVM, but the FCE remained stable in size and configuration during subsequent follow-ups. Final BCVA was maintaining to 6/6; N6 in both the eyes [].