Trimble S N, Schatz H
Department of Ophthalmology, Loyola University Medical Center, Maywood, Illinois.
Br J Ophthalmol. 1991 Jan;75(1):61-3. doi: 10.1136/bjo.75.1.61.
A 56-year-old man presented with a clearly defined orange tumour in the posterior pole of his left eye. A choroidal osteoma was suspected, and ultrasonography confirmed the diagnosis. Fluorescein angiography demonstrated subretinal neovascularisation on the nasal edge of the tumour, which was treated with krypton laser photocoagulation twice. Recurrent subretinal neovascularisation occurred one year later and was not amenable to treatment. Three years after the patient first presented, thinning of the tumour was noted on follow-up examination. During the next 15 months the tumour completely disappeared, leaving an area of retinal pigment epithelial and choroidal atrophy. Total decalcification of the choroidal osteoma was demonstrated by ultrasonography.
一名56岁男性患者左眼后极部出现一个边界清晰的橙色肿瘤。怀疑为脉络膜骨瘤，超声检查确诊。荧光素血管造影显示肿瘤鼻侧边缘存在视网膜下新生血管，用氪激光光凝治疗了两次。一年后视网膜下新生血管复发，无法治疗。患者首次就诊三年后，随访检查发现肿瘤变薄。在接下来的15个月里，肿瘤完全消失，留下一片视网膜色素上皮和脉络膜萎缩区。超声检查显示脉络膜骨瘤完全脱钙。
