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¹M.D. Ankara Atatürk Training and Research Hospital, Eye Clinic, Ankara/TURKEY
²M.D. Asistant, Yıldırım Beyazıt University, Faculty of Medicine, Department of Ophthalmology, Ankara/TURKEY
³M.D. Associate Professor, Yıldırım Beyazıt University, faculty of Medicine Department of Ophthalmology, Ankara/TURKEY A 15-year-old male patient admitted to our department with the complaint of painless blurring in the right eye in whom we diagnosed choroidal osteoma(CO). On examination, best corrected visual acuity (BCVA) was 20/100 in the right eye and 20/20 in the left eye. Fundus examination showed an orange-yellow, slightly elevated plaque with scalloped, well-defined margins in the posterior pole, consistent with a CO in the right eye. On fundus fluorescein angiography the lesion showed early patchy hyperfluorescence and late staining with no evidence of choroidal neovascular membrane. B-scan ultrasonography and orbital BT revealed findings consistent with CO. Optical coherence tomography (OCT) demonstrated subretinal fluid (SRF) of the macula in the right eye. For the treatment of SRF we suggested oral prednisolone theraphy (1mg/kg) for 10 days. One week later, complete resolution of SRF was seen on OCT, with improvement of BCVA to 20/20 in the right eye. The patient remained stable for 6 months after the treatment with a final BCVA of 20/20. Keywords : Choroidal osteoma, subretinal fluid, prednisolone