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From the Archives of the Archives
November 2007

A look at the past . . .

Arch Ophthalmol. 2007;125(11):1563. doi:10.1001/archopht.125.11.1563

Fuchs (153) calls attention to the fact that occasionally in myopia a sharply circumscribed round black spot is found in the macula. The affection begins with a sudden diminution of vision. Ophthalmoscopically, in fresh cases, a spot is found considerably smaller than the disc. Gradually it becomes as large as the disc or larger. Later the fundus becomes discolored about the spot from absorption of the pigment epithelium and appears a brighter red. . . . 

 . . . once formed the spot never disappears, and vision never becomes normal again.