Science and Education Publishing American Journal of Medical Case Reports 2374-216X 3 4 2015 04 08 Melanocytoma of Optic Disc: Clinical Manifestations, Imaging Characteristics and Follow Up 113 116 EN Rajan Paul Aberystwyth Eye Centre, Hywel Dda University Health Board, Aberystwyth, United Kingdom Manoj Kulshrestha S. Shanmugalingam Dai Barr AJMCR2015348 10.12691/ajmcr-3-4-8 2015 03 12 2015 03 30 2015 04 08 Melanocytoma of the Optic nerve head, is a benign, stationary pigmented tumor present on or adjacent to the optic disc. Rarely it exhibits minor enlargement and can also undergo malignant transformation to a melanoma. Histopathologically a melanocytoma consists of intensely pigmented round to oval nevus cells with benign features. We report a case of a 77 year old lady with an Optic nerve head melanoma. The clinical features and the imaging characteristics including Ultrasound, Fluorescein angiography and Magnetic resonance imaging are presented.