Abstract
A 37-year-old White woman was referred for evaluation of an optic disc mass in her left eye (OS). She reported eye strain OS for 1 month. Visual acuity was 20/20 in both eyes. Dilated fundus examination was normal in her right eye, and pigmented epipapillary mass was overhanging the optic disc OS (A). The lesion elicited hypoautofluorescence with a rim of hyperautoflourescence suggestive of subretinal fluid (B). Ultrasonography demonstrated mushroom-shaped choroid lesion 5.2 mm in thickness (C). Magnetic resonance imaging (T1-weighted, gadolinium enhancement) confirmed hyperintense mass (D, arrow) without optic nerve extension. A diagnosis of juxtapapillary choroid melanoma overhanging the optic disc was made. She was treated with I-125 deep-notched plaque brachytherapy (Magnified version of Figure A-D is available online at www.aaojournal.org).
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