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Case Reports
. 2006 Oct;244(10):1367-9.
doi: 10.1007/s00417-006-0270-1. Epub 2006 Mar 8.

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

H Viet Tran  1 , Etienne H Bovey, Sylvie Uffer, Leonidas Zografos
Affiliations
Case Reports

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

H Viet Tran et al. Graefes Arch Clin Exp Ophthalmol. 2006 Oct.

Abstract

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 14 months' 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.

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