Successful management of melanocytoma-associated choroidal neovascularization with photodynamic therapy.
OBJECTIVE
To report the efficacy of photodynamic therapy in treatment of choroidal neovascular membrane (CNV) associated with melanocytoma of the optic disc.


METHODS
A middle-aged man with visual acuity of 20/200 in right eye was treated with photodynamic therapy for juxtafoveal classic CNV overlying the papillomacular bundle. CNV was secondary to ocular melanocytoma, a rare event.


RESULTS
At the 6-month follow-up, a scarred CNV with final visual acuity of 20/30 was noted clinically and angiographically. Tomography revealed high reflective scar tissue with flat macula and microperimetry showed restoration of retinal sensitivity over the papillomacular bundle.


CONCLUSIONS
Photodynamic therapy effectively resolved CNV that involved papillomacular bundle (secondary to melanocytoma) and restored retinal function in papillomacular bundle.
Chalam
K V
KV
Department of Ophthalmology, University of Florida College of Medicine, Jacksonville 32209, USA.
Gupta
S K
SK
Shah
G Y
GY
Agarwal
S
S
D020256:Choroidal Neovascularization / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D003937:Diagnosis, Differential; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D008875:Middle Aged; D009506:Nevus / Q000150:complications* / Q000175:diagnosis; D019574:Optic Nerve Neoplasms / Q000150:complications* / Q000175:diagnosis; D010778:Photochemotherapy / Q000379:methods*; D041623:Tomography, Optical Coherence; D014794:Visual Fields