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March 1994

Presumed Melanocytoma of the Macula

Author Affiliations

Barcelona, Spain

Arch Ophthalmol. 1994;112(3):305-306. doi:10.1001/archopht.1994.01090150035013

The melanocytoma located on the macula without involving the papilla represents an extremely rare clinical feature of this specific variant of nevus. This melanocytic neoplasm with its specific microscopic characteristics has also been found in the papilla, iris, ciliary body, choroid, and conjuntiva,1,2 but melanocytomas of the macula are the most rarely observed.

Report of a Case.  In 1970, a 52-year-old man presented at our outpatient clinic complaining of low visual acuity in his right eye since childhood. Ocular examination showed a visual acuity of hand movements and a central scotoma without an afferent pupillary defect. Ophthalmoscopically, there was a nearly homogeneous, heavily pigmented, round lesion on the macular area, which was slightly elevated with a feathery, fibrillated margin. Its size was four optic disc diameters. There were two small satellite lesions at the inferior margin. Results of the examination of the left eye were normal.Perimetry confirmed the