This is just a great image of a melanocytoma! Unfortunately, we don’t have any clinical information for this patient.
Learning Points:
Melanocytomas are benign melanocytic tumors intrinsic to the optic nerve. They are intensely pigmented with feathery margins, sometimes spreading into the adjacent retina and choroid.
Although they may enlarge over time, malignant transformation is very rare. Spontaneous necrosis may present with a similar appearance to vitreous seeding from melanoma. Vision and visual field loss can rarely occur from compressive optic neuropathy.
