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Case Reports
. 2021 Apr 30;28(1):60-62.
doi: 10.4103/meajo.MEAJO_543_20. eCollection 2021 Jan-Mar.

Bilateral Congenital Ptosis Associated with Optic Disc Melanocytoma

Abdulrahman H Badawi  1 , Huda Al-Ghadeer  2
Affiliations
Case Reports

Bilateral Congenital Ptosis Associated with Optic Disc Melanocytoma

Abdulrahman H Badawi et al. Middle East Afr J Ophthalmol. .

Abstract

We report a rare clinical association of optic disc melanocytoma (ODM) occurring with bilateral congenital ptosis that has not been previously reported. A 28-year-old male patient presented with bilateral congenital ptosis. On examination, his vision was 20/20 in each eye, and dilated fundus examination indicated a pigmented lesion over the left inferior temporal aspect of the optic disc that was consistent with an optic nerve melanocytoma. B-scan ultrasonography indicated a calcified elevated optic nerve head. Bilateral frontalis sling procedures were performed for congenital ptosis with satisfactory results at 1 year postoperatively. There was no progression of the lesion in the left eye. Knowing the key ophthalmoscopic features of an ODM can aid in diagnosing this lesion; ophthalmologists should be familiar with this lesion in addition to the rare association of ptosis. Affected patients should be periodically assessed.

Keywords: Congenital; melanocytoma; optic disc; ptosis.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
External photograph of the face showing bilateral ptosis
Figure 2
Figure 2
(a) Fundus photograph of the left eye demonstrating inferior temporal location melanocytoma, partial involvement of the disc with poorly defined margins; (b) B-scan ultrasonography of the left eye showing high internal reflectivity and calcification at the disc margin
See this image and copyright information in PMC

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