title: Melanoma associated retinopathy: A new dimension using adaptive optics.
abstract: We report a 56-year-old male patient, complaining of metamorphopsia in his left eye nevertheless visual acuity, slit lamp, and fundus examinations were within normal limits. Microperimetry (MAIA, Centervue, Italy) revealed central field loss and spectral domain optical coherence tomography (Spectralis, Heidelberg, Germany) showed disrupted cone outer segment tip layer. The patient had a diagnosis of cutaneous melanoma in his foot for which an excision biopsy with lymph node dissection was performed 5 months earlier. Our clinical diagnosis was melanoma-associated retinopathy. Electrophysiology confirmed the diagnosis. Adaptive optics retinal imaging (Imagine eyes, Orsay) was performed to assess the cone mosaic integrity across the central retina. This is the first report on the investigation of autoimmune retinopathy using adaptive optics ophthalmoscopy. This case highlights the viability of innovative diagnostic modalities that aid early detection and subsequent management of vision threatening retinal.
authors.affiliation: Department of Retina, Narayana Nethralaya, Bengaluru, Karnataka, India.
authors.forename: Supriya
authors.initials: S
authors.lastname: Dabir
authors.affiliation: Department of Retina, Narayana Nethralaya, Bengaluru, Karnataka, India.
authors.forename: Shwetha
authors.initials: S
authors.lastname: Mangalesh
authors.affiliation: Department of Retina, Narayana Nethralaya, Bengaluru, Karnataka, India.
authors.forename: Indu
authors.initials: I
authors.lastname: Govindraj
authors.affiliation: Department of Paediatric Ophthalmolgy and Electrophysiology, Narayana Nethralaya, Bengaluru, Karnataka, India.
authors.forename: Ashwin
authors.initials: A
authors.lastname: Mallipatna
authors.affiliation: Department of Retina, Narayana Nethralaya, Bengaluru, Karnataka, India.
authors.forename: Rajani
authors.initials: R
authors.lastname: Battu
authors.affiliation: Department of Cornea and Anterior Segment, Narayana Nethralaya, Bengaluru, Karnataka, India.
authors.forename: Rohit
authors.initials: R
authors.lastname: Shetty
keywords: Adaptive optics; autoimmune retinopathy; cone dysfunction; electrophysiology; melanoma-associated retinopathy