- Ophthalmic Surgery, Lasers and Imaging
The authors studied the clinical features, visual field, and spectral-domain optical coherence tomography (SD-OCT) characteristics of peripapillary melanocytoma associated with visual field defects in two eyes of two patients. Both eyes had hyperreflective anterior surface and posterior optical shadowing in the region of peripapillary melanocytoma on SD-OCT imaging. The retinal nerve fiber layer was thin adjacent to these lesions, and this corresponded to the opposite hemifield defect on Humphrey Visual Field testing. Three-dimensional imaging of the melanocytoma revealed an irregular elevation in the peripapillary region. SD-OCT, when used in conjunction with clinical examination and Humphrey Visual Field testing, provided useful information that may assist clinicians in treating patients with peripapillary melanocytoma, particularly when observing them over time.
From the Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Presented at the Association for Research in Vision and Ophthalmology (ARVO) annual meeting; May 3–7, 2009; Fort Lauderdale, Florida.
Supported by an unrestricted grant from Research to Prevent Blindness, New York, New York.
The authors have no financial or proprietary interest in the materials presented herein.
Address correspondence to Omar S. Punjabi, MD, 645 N. Michigan Ave., Suite 440, Chicago, IL 60611. E-mail: email@example.com