• Jamaluddin Mughal Consultant Ophthalmologist, Patel Hospital Karachi
  • Anum Javed Resident Patel Hospital Karachi
  • Owais Arshad Senior Registrar, Ophthalmology, Patel Hospital. Karachi
  • Javeria Nasir Registrar, Ophthalmology, Patel Hospital
  • Mohammad Hanif Chatni Consultant Ophthalmologist, Patel Hospital
  • Mohammad Usman Consultant Ophthalmologist, Patel Hospital, Karachi


A young male presented with complaints of disturbance of vision and floaters for the past five years with best corrected visual acuity of 6/6 in both eyes. Ophthalmic examination of the anterior segment was normal in both eyes. There was a relative afferent papillary defect in the right eye. Fundoscopic examination of the left eye showed a raised, 3-disc diameter (DD) dark brown lesion arising from the optic disc. Ophthalmic investigations were performed including fundus photos, A-scan, B-scan, Auto-fluorescence, OCT, and FFA. Findings were consistent with those of optic disc melanocytoma. The patient is now kept on close three-monthly follow-up.  To the best of our knowledge, there are no published reports from Pakistan so far.Keywords: Optic Disc Melanocytoma; Melanocytic Lesion; Choroidal Melanoma


Harbour JW, Paez-Escamilla M, Cai L, Walter SD, Augsburger JJ, Correa ZM. Are risk factors for growth of choroidal nevi associated with malignant transformation? Assessment with a validated genomic biomarker. Am J Ophthalmol 2019;197:168–79.

Pereira A, Thomas S, Yadav NK, Venkatesh R. Multicolor imaging of optic disc melanocytoma. Indian journal of ophthalmology. 2019 Dec;67(12):2056.

Mansour AM, Zimmerman LO, La Piana FG, Beauchamp GR. Clinicopathological findings in a growing optic nerve melanocytoma. Br J Ophthalmol 1989;73(6):410–5.

Baartman BJ, Ahmad B, Srivastava S, Jones S, Singh AD. Melanocytoma or juxtapapillary melanoma?. Retinal Cases and Brief Reports. 2019 Jan 1;13(1):15-7.

Attiku Y, Rishi P, Bassi S. Coexisting Optic Disc Melanocytoma and Pituitary Adenoma. Ocul Oncol Pathol 2019;5(5):319–22.

Herwig-Carl MC, Loeffler KU, Grossniklaus HE. Melanocytoma of the conjunctiva: clinicopathologic features of three cases. Ocular oncology and pathology. 2019;5(4):290-7.

Al-Rashaed S, Abboud EB, Nowilaty SR. Characteristics of optic disc melanocytomas presenting with visual dysfunction. Middle East Afr J Ophthalmol 2010;17(3):242–5.

Kita Y, Hollό G, Murai A, Kita R, Hirakata A. Optical coherence tomography angiography findings of an optic disc melanocytoma in a glaucoma eye. International Ophthalmology. 2019 Mar 15;39(3):677-82.

Carnevali A, Querques L, Zucchiatti I, Scorcia V, Bandello F, Querques G. Optical coherence tomography angiography features in melanocytoma of the optic nerve. Ophthalmic Surg Lasers Imaging Retina 2017;48(4):364–6.

Guerra RLL, Marback EF, Silva IS, Maia Jr OD, Marback RL. Autofluorescência e tomografia de coerência óptica de domínio espectral do melanocitoma do disco óptico. Arq Bras Oftalmol 2014;77(6):400–2.

Zhang P, Hui YN, Xu WQ, Zhang ZF, Wang HY, Sun DJ, et al. Infrared autofluorescence, short-wave autofluorescence and spectral-domain optical coherence tomography of optic disk melanocytomas. Int J Ophthalmol 2016;9(5):713–6.

Shields JA, Demirci H, Mashayekhi A, Eagle Jr RC, Shields CL. Melanocytoma of the optic disk: A review. Indian J Ophthalmol 2019;67(12):1949–58.