Pigment dispersion syndrome associated with optic nerve melanocytoma

• Published in: Archivos de la Sociedad Española de Oftalmología Vol. 90; no. 10; pp. 484 - 486
• Main Authors: Asorey-García, A, Méndez-Hernández, C D, Santos-Bueso, E, García-Feijoo, J
• Format: Journal Article
• Language: English; Spanish
• Published: Spain 01.10.2015
• Subjects: 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; Melanocitoma de nervio óptico; Melanocytoma; Melanocitoma; Pigment dispersion syndrome; Glaucoma melanocitomalítico; Optic disk melanocytoma; Síndrome de dispersión pigmentaria; Melanocytic glaucoma
• ISSN: 1989-7286
• DOI: 10.1016/j.oftal.2015.04.005

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. 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.