Rieger anomaly with bilateral choroidal osteoma: coincidence or association?
OBJECTIVE
To report a case of Rieger anomaly associated with bilateral choroidal osteoma.


METHODS
An 18-year-old woman presented with corectopia, iridocorneal adhesions, and stromal hypoplasia of the iris, and was diagnosed with Rieger anomaly.


RESULTS
Fundus examination revealed bilateral yellowish-orange, placoid degenerative fundus lesions with pseudopod-like edges associated with the areas of retinal pigment epithelium atrophy, indicating choroidal osteoma. Fundus fluorescein angiography showed bilateral early patchy and late diffuse hyperfluorescence. B-scan echography revealed placoid lesion at the posterior ocular coats characterized by localized areas of high ultrasound reflectivity with a corresponding retrobulbar orbital shadowing. This indicated a dense calcium foreign body. In addition, computed tomography of the orbit demonstrated bilateral plate-like thickening with calcification of the choroid that was isodense with the normal skeletal bone.


CONCLUSIONS
Although Rieger anomaly is classically known as a disease of the anterior segment of the eye, choroidal osteoma may be a posterior segment finding of the disease that has not previously been reported.
Erkiliç
K
K
Department of Ophthalmology, Erciyes University Medical Faculty, Kayseri, Turkey.
Ozkiriş
A
A
Evereklioglu
C
C
Dogan
H
H
D000015:Abnormalities, Multiple / Q000175:diagnosis* / Q000235:genetics; D000293:Adolescent; D000869:Anterior Eye Segment / Q000002:abnormalities*; D002114:Calcinosis / Q000150:complications* / Q000175:diagnosis; D002830:Choroid Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D005124:Eye Abnormalities / Q000150:complications* / Q000175:diagnosis / Q000235:genetics; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D007498:Iris / Q000002:abnormalities*; D009915:Orbit / Q000000981:diagnostic imaging; D010016:Osteoma / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography