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  • Title: Total blindness from presumed optic nerve melanocytoma.
    Author: Shields JA, Shields CL, Ehya H, Dhaliwal RS.
    Journal: Am J Ophthalmol; 2005 Jun; 139(6):1113-4. PubMed ID: 15953449.
    Abstract:
    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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