Bilateral optic disk melanocytoma in a 10-month-old infant.
OBJECTIVE
To report bilateral optic disk melanocytoma in a healthy infant,


METHODS
Case report.


RESULTS
A 10-month-old healthy boy presented with intermittent right exotropia. Dilated fundus examination showed a heavily pigmented mass within both optic disks. The optic disks were hypoplastic, and there was diffuse retinal pigment epithelial mottling around the optic disks. Systemic evaluation including thyroid function tests, pituitary gland hormone levels, adrenal gland hormone levels, and magnetic resonance imaging of the brain revealed normal findings. After 1 year, the lesions remained stable, and the patient was healthy with normal growth and development.


CONCLUSIONS
Bilateral optic disk melanocytoma is uncommon. Although this patient had no systemic problem, a literature review revealed an association of bilateral optic disk melanocytoma, optic disk hypoplasia, and central nervous system abnormalities such as meningioma and hypopituitarism. Systemic evaluation for central nervous system abnormalities is warranted in such cases.
Demirci
Hakan
H
Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
Shields
Carol L
CL
Shields
Jerry A
JA
D006801:Humans; D007223:Infant; D008297:Male; D009508:Nevus, Pigmented / Q000473:pathology*; D009898:Optic Disk; D019574:Optic Nerve Neoplasms / Q000473:pathology*