Total Blindness From Presumed Optic Nerve Melanocytoma - 18/08/11
, Carol L. Shields, MD a, Hormoz Ehya, MD b, Ranjit S. Dhaliwal, MD c : FRCSC
Inquiries to Jerry A. Shields, MD, Ocular Oncology Service, Wills Eye Hospital, 840 Walnut Street, Philadelphia, PA 19107; fax: 215-928-1140Résumé |
Purpose |
To describe total blindness secondary to presumed optic nerve melanocytoma.
Design |
Interventional case report.
Methods |
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.
Results |
Cytopathology revealed cells with features of melanocytoma and melanophages but no cells compatible with melanoma. The patient is being followed without treatment.
Conclusions |
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.
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| Supported by the Eye Tumor Research Foundation, Philadelphia, Pennsylvania (J.S., C.S.), the Award of Merit in Retina Research, Houston, Texas (J.S.), and the Macula Foundation, New York, New York (C.S.). |
Vol 139 - N° 6
P. 1113-1114 - juin 2005 Retour au numéro
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