+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Central retinal artery occlusion secondary to optic disk melanocytoma

Central retinal artery occlusion secondary to optic disk melanocytoma

Retinal Cases and Brief Reports 6(2): 212-215

To report a case of central retinal artery occlusion with cilioretinal artery sparing associated with an optic disk melanocytoma. Retrospective observational case report. A 29-year-old healthy male adult presented with sudden profound visual loss in the right eye since the past 3 days. His medical history was unremarkable with no history of antecedent trauma. Best-corrected visual acuity was 6/36 in the right eye and 6/6 in the left eye. The left eye was essentially normal. Right afferent pupillary defect was noted. Biomicroscopic examination of right fundus revealed an elevated, deeply pigmented, brown-black mass lesion over the optic disk, suggestive of melanocytoma. Other fundus findings were suggestive of central retinal artery occlusion with cilioretinal artery sparing. Clinical findings were confirmed on fundus fluorescein angiography, optical coherence tomography, ultrasonography, and visual field testing. Severe visual loss can occur because of retinal vascular occlusion in eyes with optic disk melanocytoma. Rapid visual loss and retinal vascular occlusion associated with optic disk melanocytoma may not necessarily be caused by its malignant transformation. It may be caused by tumor necrosis itself. Although rare, it is still important to follow-up such patients closely to look for signs suggestive of malignant transformation.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 051990493

Download citation: RISBibTeXText

PMID: 25390967

DOI: 10.1097/icb.0b013e318234cd05

Related references

Optic disk drusen with central retinal artery occlusion. Japanese Journal of Ophthalmology 26(1): 10-17, 1982

Optic disk and retinal nerve fiber layer damage after transient central retinal artery occlusion: An experimental study in rhesus monkeys. American Journal of Ophthalmology 129(6): 786-795, 2000

Optic disk morphology in experimental central retinal artery occlusion in rhesus monkeys. American Journal of Ophthalmology 127(5): 523-530, 1999

Necrotic melanocytoma of the optic disk with central retinal vascular obstruction. Retina 25(3): 364-367, 2005

Optic nerve enlargement and central retinal-artery occlusion secondary to retrobulbar anesthesia. Annals of Ophthalmology 21(5): 195-197, 1989

Central retinal vascular obstruction secondary to melanocytoma of the optic disc. Archives of Ophthalmology 119(1): 129-133, 2001

The optic disk in anterior ischemic optic neuropathy associated with retinal artery occlusion. Ophthalmologica. Journal International D'ophtalmologie. International Journal of Ophthalmology. Zeitschrift für Augenheilkunde 201(1): 14-18, 1990

The Optic Disk in Anterior Ischemic Optic Neuropathy Associated with Retinal Artery Occlusion (With 1 color plate). Ophthalmologica 201(1): 14-18, 1990

Hyperhomocystinemia in patients with nonarteritic anterior ischemic optic neuropathy, central retinal artery occlusion, and central retinal vein occlusion. Ophthalmology 107(8): 1588-1592, 2000

Central retinal artery occlusion after radial optic neurotomy in a patient with central retinal vein occlusion. American Journal of Ophthalmology 139(1): 206-207, 2005

Combined central retinal artery occlusion and central retinal vein occlusion secondary to Behçet's disease. Journal Francais d'Ophtalmologie 39(7): E191-E192, 2016

Optic Canal Decompression and Direct Ophthalmic Artery Fibrinolysis for Traumatic Optic Neuropathy With Central Retinal Artery Occlusion. Neuro-Ophthalmology 38(3): 127-130, 2014

Normal optic nerve; classification of the optic disk based on branching of the central retinal artery. Archives of Ophthalmology 39(3): 305-312, 1948

Normal optic nerve. I. Classification of optic disk based on branching of central retinal artery. Arch Ophthalmol 39(3): 305-312, 1948

Combined central retinal vein, central retinal artery and cilioretinal artery occlusion with ischemic macular hole secondary to severe orbital cellulitis after black fly bite. International Medical Case Reports Journal 12: 125-134, 2019