Peripapillary choroidal neovascularization associated with melanocytoma of the optic disc: a clinicopathologic case report.
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.
Tran
H Viet
HV
Jules Gonin University Eye Hospital, 15, Av. de France, 1004, Lausanne, VD, Switzerland.
Bovey
Etienne H
EH
Uffer
Sylvie
S
Zografos
Leonidas
L
D020256:Choroidal Neovascularization / Q000150:complications / Q000473:pathology* / Q000601:surgery; D005451:Fluorescein Angiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009508:Nevus, Pigmented / Q000150:complications / Q000473:pathology* / Q000601:surgery; D013508:Ophthalmologic Surgical Procedures; D009898:Optic Disk / Q000473:pathology* / Q000601:surgery; D019574:Optic Nerve Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D012166:Retinal Hemorrhage; D014821:Vitrectomy