ISSN 2757-8135 | E-ISSN 2757-9816
Acute Nonarteritic Ischemic Optic Neuropathy Following Conjunctival Malignant Melanoma Excision [Eur Eye Res]
Eur Eye Res. Ahead of Print: EER-07279 | DOI: 10.14744/eer.2021.07279

Acute Nonarteritic Ischemic Optic Neuropathy Following Conjunctival Malignant Melanoma Excision

ozlem barut selver1, Melis Palamar1, Elif Demirkilinc Biler1, Banu Yaman2, Onder Uretmen1
1Ege University Faculty Of Medicine, Department Of Ophthalmology, Izmir, Turkey
2Ege University Faculty Of Medicine, Department Of Pathology, Izmir, Turkey

Aim: To report a patient who developed acute nonarteritic ischemic optic neuropathy following conjunctival melanoma excisional biopsy.
Method: Case report.
Results: An otherwise healthy 55-year-old man presented with a three-month history of progressively growing pigmented lesion in the left eye. Clinical examination revealed a dark pigmented conjunctival lesion adjacent to temporal limbus with an evident feeder vessel. With the initial diagnosis of conjunctival melanoma; excisional biopsy, alcohol epitheliectomy, cryotherapy (double-thaw), episclerectomy, and amniotic membrane transplantation for ocular surface reconstruction were performed. Histopathological examination confirmed the diagnosis. Four months after surgical intervention, sudden visual loss in the operated eye occurred. According to detailed neuroophthalmological examination, patient was diagnosed as acute nonarteritic ischemic optic neuropathy.
Conclusion: Nonarteritic ischemic optic neuropathy is a multifactorial disease and may occur after several ophthalmic surgeries. To the best of our knowledge this is the first reported case of nonarteritic ischemic optic neuropathy following conjunctival melanoma excision.

Keywords: Nonarteritic Ischemic Optic Neuropathy, Malignant Melanoma, Conjunctival mass



Corresponding Author: Melis Palamar, Türkiye
Manuscript Language: English