Melanoma associated retinopathy: A new dimension using adaptive optics

We report a 56-year-old male patient, complaining of metamorphopsia in his left eye nevertheless visual acuity, slit lamp, and fundus examinations were within normal limits. Microperimetry (MAIA, Centervue, Italy) revealed central field loss and spectral domain optical coherence tomography (Spectral...

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Main Authors: Supriya Dabir, Shwetha Mangalesh, Indu Govindraj, Ashwin Mallipatna, Rajani Battu, Rohit Shetty
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Oman Journal of Ophthalmology
Subjects:
Online Access:http://www.ojoonline.org/article.asp?issn=0974-620X;year=2015;volume=8;issue=2;spage=125;epage=127;aulast=Dabir
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author Supriya Dabir
Shwetha Mangalesh
Indu Govindraj
Ashwin Mallipatna
Rajani Battu
Rohit Shetty
author_facet Supriya Dabir
Shwetha Mangalesh
Indu Govindraj
Ashwin Mallipatna
Rajani Battu
Rohit Shetty
author_sort Supriya Dabir
collection DOAJ
description We report a 56-year-old male patient, complaining of metamorphopsia in his left eye nevertheless visual acuity, slit lamp, and fundus examinations were within normal limits. Microperimetry (MAIA, Centervue, Italy) revealed central field loss and spectral domain optical coherence tomography (Spectralis, Heidelberg, Germany) showed disrupted cone outer segment tip layer. The patient had a diagnosis of cutaneous melanoma in his foot for which an excision biopsy with lymph node dissection was performed 5 months earlier. Our clinical diagnosis was melanoma-associated retinopathy. Electrophysiology confirmed the diagnosis. Adaptive optics retinal imaging (Imagine eyes, Orsay) was performed to assess the cone mosaic integrity across the central retina. This is the first report on the investigation of autoimmune retinopathy using adaptive optics ophthalmoscopy. This case highlights the viability of innovative diagnostic modalities that aid early detection and subsequent management of vision threatening retinal.
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spelling doaj.art-d67c56676ee94e7681fb703dfe5228f92022-12-22T03:19:30ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2015-01-018212512710.4103/0974-620X.159273Melanoma associated retinopathy: A new dimension using adaptive opticsSupriya DabirShwetha MangaleshIndu GovindrajAshwin MallipatnaRajani BattuRohit ShettyWe report a 56-year-old male patient, complaining of metamorphopsia in his left eye nevertheless visual acuity, slit lamp, and fundus examinations were within normal limits. Microperimetry (MAIA, Centervue, Italy) revealed central field loss and spectral domain optical coherence tomography (Spectralis, Heidelberg, Germany) showed disrupted cone outer segment tip layer. The patient had a diagnosis of cutaneous melanoma in his foot for which an excision biopsy with lymph node dissection was performed 5 months earlier. Our clinical diagnosis was melanoma-associated retinopathy. Electrophysiology confirmed the diagnosis. Adaptive optics retinal imaging (Imagine eyes, Orsay) was performed to assess the cone mosaic integrity across the central retina. This is the first report on the investigation of autoimmune retinopathy using adaptive optics ophthalmoscopy. This case highlights the viability of innovative diagnostic modalities that aid early detection and subsequent management of vision threatening retinal.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2015;volume=8;issue=2;spage=125;epage=127;aulast=DabirAdaptive opticsautoimmune retinopathycone dysfunctionelectrophysiologymelanoma-associated retinopathy
spellingShingle Supriya Dabir
Shwetha Mangalesh
Indu Govindraj
Ashwin Mallipatna
Rajani Battu
Rohit Shetty
Melanoma associated retinopathy: A new dimension using adaptive optics
Oman Journal of Ophthalmology
Adaptive optics
autoimmune retinopathy
cone dysfunction
electrophysiology
melanoma-associated retinopathy
title Melanoma associated retinopathy: A new dimension using adaptive optics
title_full Melanoma associated retinopathy: A new dimension using adaptive optics
title_fullStr Melanoma associated retinopathy: A new dimension using adaptive optics
title_full_unstemmed Melanoma associated retinopathy: A new dimension using adaptive optics
title_short Melanoma associated retinopathy: A new dimension using adaptive optics
title_sort melanoma associated retinopathy a new dimension using adaptive optics
topic Adaptive optics
autoimmune retinopathy
cone dysfunction
electrophysiology
melanoma-associated retinopathy
url http://www.ojoonline.org/article.asp?issn=0974-620X;year=2015;volume=8;issue=2;spage=125;epage=127;aulast=Dabir
work_keys_str_mv AT supriyadabir melanomaassociatedretinopathyanewdimensionusingadaptiveoptics
AT shwethamangalesh melanomaassociatedretinopathyanewdimensionusingadaptiveoptics
AT indugovindraj melanomaassociatedretinopathyanewdimensionusingadaptiveoptics
AT ashwinmallipatna melanomaassociatedretinopathyanewdimensionusingadaptiveoptics
AT rajanibattu melanomaassociatedretinopathyanewdimensionusingadaptiveoptics
AT rohitshetty melanomaassociatedretinopathyanewdimensionusingadaptiveoptics