In the present case report we describe a rare case of a 34-year-old male patient with a history of painless progressive loss of vision over several months. There was abrupt blurring of central vision with distortion. This case report highlights the step wise approach to diagnose a case of choroidal osteoma presenting with progressive loss of vision and its management by intravitreal injection Bevacizumab (Avastin) leading to favourable results