Peripapillary choroidal neovascularization associated with melanocytoma of the optic disc: a clinicopathologic case report

Tran, H. ; Bovey, Etienne ; Uffer, Sylvie ; Zografos, Leonidas

In: Graefe's Archive for Clinical and Experimental Ophthalmology, 2006, vol. 244, no. 10, p. 1367-1369

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    Summary
    Background: Melanocytoma of the optic disc is a benign melanocytic tumor that rarely causes visual impairment. We report a case of a melanocytoma of the optic disc with a decreased vision related to a peripapillary choroidal neovascular membrane (PCNVM) that was successfully treated by submacular surgery. Methods: A 45-year-old southern European patient had a melanocytoma of the optic disc in his left eye with vision of 20/100. Fluorescein angiography demonstrated a PCNVM impeding the fovea associated with a subretinal hemorrhage. Results: The patient underwent a complete vitrectomy and removal of the PCNVM. Subsequently, the subretinal hemorrhage disappeared and visual acuity improved to 20/25. Visual acuity remained good for a period of 14months' follow-up without any recurrence of neovascular membrane. Conclusions: Submacular surgery is a potentially effective treatment for large PCNVM associated with a melanocytoma of the optic disc