Pigment dispersion syndrome associated with optic nerve melanocytoma

Arch Soc Esp Oftalmol. 2015 Oct;90(10):484-6. doi: 10.1016/j.oftal.2015.04.005. Epub 2015 May 23.
[Article in English, Spanish]

Abstract

Case report: A 60-year old patient was referred for cataract surgery. The examination showed retrokeratic pigment in the left eye, which had an intraocular pressure of 24 mm Hg. The funduscopy showed a brown lesion on the left optic disk, with adjacent vitreous seeding of pigment. The patient was thus diagnosed with secondary pigment dispersion syndrome due to optic disk melanocytoma.

Discussion: Although melanocytoma is most commonly a benign, stationary tumor, it may present with major complications leading to significant visual loss. A patient with melanocytoma of the optic disk should be examined periodically.

Keywords: Glaucoma melanocitomalítico; Melanocitoma; Melanocitoma de nervio óptico; Melanocytic glaucoma; Melanocytoma; Optic disk melanocytoma; Pigment dispersion syndrome; Síndrome de dispersión pigmentaria.

Publication types

  • Case Reports

MeSH terms

  • Adrenergic alpha-2 Receptor Agonists / administration & dosage
  • Adrenergic alpha-2 Receptor Agonists / therapeutic use
  • Brimonidine Tartrate / administration & dosage
  • Brimonidine Tartrate / therapeutic use
  • Cataract / complications
  • Cataract Extraction
  • Exfoliation Syndrome / etiology*
  • Female
  • Follow-Up Studies
  • Humans
  • Incidental Findings
  • Middle Aged
  • Nevus, Pigmented / complications*
  • Nevus, Pigmented / diagnosis
  • Ocular Hypertension / drug therapy
  • Ocular Hypertension / etiology
  • Ophthalmic Solutions
  • Optic Nerve Neoplasms / complications*
  • Optic Nerve Neoplasms / diagnosis
  • Watchful Waiting

Substances

  • Adrenergic alpha-2 Receptor Agonists
  • Ophthalmic Solutions
  • Brimonidine Tartrate