Total Blindness From Presumed Optic Nerve Melanocytoma

To describe total blindness secondary to presumed optic nerve melanocytoma. Interventional case report. A 12-year-old African-American girl, who developed loss of light perception secondary to a pigmented lesion of the optic disk, underwent transvitreal fine-needle aspiration biopsy (FNAB) of the le...

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Bibliographic Details
Published in:American journal of ophthalmology 2005-06, Vol.139 (6), p.1113-1114
Main Authors: Shields, Jerry A.., Shields, Carol L., Ehya, Hormoz, Dhaliwal, Ranjit S.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Blindness - etiology
Child
Drug therapy
Female
Fluorescein Angiography
Humans
Macular degeneration
Medical sciences
Melanoma
Nevus, Pigmented - complications
Ophthalmology
Optic nerve
Optic Nerve Neoplasms - complications
Vision disorders
Visual impairment
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Description
Summary:To describe total blindness secondary to presumed optic nerve melanocytoma. Interventional case report. A 12-year-old African-American girl, who developed loss of light perception secondary to a pigmented lesion of the optic disk, underwent transvitreal fine-needle aspiration biopsy (FNAB) of the lesion. Cytopathology revealed cells with features of melanocytoma and melanophages but no cells compatible with melanoma. The patient is being followed without treatment. Optic nerve melanocytoma can cause total blindness in the affected eye. Although it has limitations, FNAB can assist in diagnosis and management of melanocytoma with visual loss.
ISSN:0002-9394
1879-1891
DOI:10.1016/j.ajo.2004.11.048