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Choroidal osteoma clinical manifestation

The patient is a 38-year-old female, with no known past medical or ocular history, who presented to the office with a complaint of a progressive decrease in vision of her left eye over the past several months. Uncorrected visual acuity was 20/20 OD and 20/400 OS. Pupils were equal with no afferent pupillary defect. The external ocular movement was intact, and no gross visual field defect was found on the confrontational visual field exam. Intraocular pressure was 11 OD and 14 OS. Slit-lamp exam of the ocular surface, anterior chamber, lens, and vitreous were not remarkable