case_images: PMC10601810_01
case_images: Fundus photo from before the subretinal hemorrhage (a) demonstrated an optic disc melanocytoma in the 4 o'clock position. Fundus photo (b) and fundus autofluorescence (c) after presumed CNVM formation demonstrated subretinal hemorrhage emanating from the optic disc melanocytoma and abutting the fovea. OCT (d) demonstrated subretinal and sub-RPE hemorrhage consistent with the fundus examination. Fundus photo from after resolution of the presumed CNVM and hemorrhage (e) demonstrated 2 distinct areas of residual subretinal fibrin. OCT (f) from after aflibercept treatment course demonstrated resolution of hemorrhage and subretinal fluid consistent with presumed regressed CNVM.
case_images: cop-2023-0014-0001-527087_F01.jpg
case_images: PMC10601810_01_cop-2023-0014-0001-527087_F01.jpg
case_images: F1
case_images: Past ocular history was significant for peripapillary melanocytoma (shown in Fig. 1a, b) which had been stable for 6 years prior to this presentation and epiretinal membrane OS (not pictured). Fundus examination of the OS revealed an inferotemporal peripapillary optic disc melanocytoma measuring 1 mm in greatest basal diameter with an associated large area of subretinal hemorrhage extending into the macula and abutting the fovea (shown in Fig. 1c). Unfortunately, fluorescein angiography was not available at presentation (Fig. 1d). Treatment ceased once there was no longer clinically evident fresh hemorrhage and subretinal fluid resolved on OCT (Fig. 1f).