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

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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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Acknowledgement

We would like to thank Fromhold Samuel for his technical support. This work was not sponsored by any commercial organization. Financial interest: none. Grant: none.

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Authors and Affiliations

  1. Jules Gonin University Eye Hospital, 15, Av. de France, 1004, Lausanne, VD, Switzerland

    H. Viet Tran, Etienne H. Bovey, Sylvie Uffer & Leonidas Zografos

Authors
  1. H. Viet Tran
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  2. Etienne H. Bovey
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  3. Sylvie Uffer
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  4. Leonidas Zografos
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Corresponding author

Correspondence to Etienne H. Bovey.

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Tran, H.V., Bovey, E.H., Uffer, S. et al. Peripapillary choroidal neovascularization associated with melanocytoma of the optic disc: a clinicopathologic case report. Graefe's Arch Clin Exp Ophthalmo 244, 1367–1369 (2006). https://doi.org/10.1007/s00417-006-0270-1

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  • DOI: https://doi.org/10.1007/s00417-006-0270-1

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