ABSTRACT
A woman reported decreased vision in the right eye since hospitalization for COVID-19. Vision in the right eye was 6/18 and in the left eye was counting fingers. Her left eye had cataract and right eye was pseudophakic with earlier documented good recovery. In the right eye, she had branch retinal vein occlusion (BRVO) with macular edema documented on optical coherence tomography (OCT). It was suspected that it might be an ocular manifestation of COVID-19 which had not been reported and had worsened. An overdose of antibiotics or remdesivir might also be responsible for the same. She was advised anti-VEGF injections and was kept under treatment.
ABSTRACT
PURPOSE: To report one case of juxtapapillary choroidal melanocytoma diagnosed noninvasive methods. METHODS: A 27 year-old female patient was referred to our hospital due to her rapid growing peripapillary mass which had been detected by routine examinations for LASIK operation for the past 2 years. On fundus exam, a markedly pigmented brown-black colored mass located nasal to the margin of the optic nerve head was observed. Its margin was feathery and its surface showed pigmented granular appearance. On fluorescein angiography, the tumor was hypofluorescent and surrounded by bright stained rim, which seemed to be like `semicircular well-defined comet-tail'. Optical coherence tomography demonstrated that lesion had a high reflectance signal anteriorly and optical shadowing behind. The high signal was continuous with the retinal nerve fiber layer, which was consistent with growth patterns of melanocytoma. CONCLUSIONS: From the experience of a case of peripapillary melanocytoma, we suggest noninvasive diagnostic methods of melanocytoma such as optical coherence tomography and fluorescein angiography may be very useful in differentiating melanocytoma from choroidal melanocytic lesions. Periodic follow-up to use it clinically is also suggested.