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Choroidal osteoma. (a) Decalcified circumpapillary choroidal osteoma with associated pigment migration and RPE atrophy. (b) EDI OCT demonstrates replacement of the normal choriocapillaris with a dense hyperreflective mass with a scalloped posterior border and an adjacent hyporeflective space anterior to the sclera. The main lesion is almost continuous with the overlying RPE. Overlying neurosensory retina is thinned with the loss of the outer layers.
