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Article
May 1963

Spontaneous Hyphema and Acute Glaucoma as Initial Signs of Recurrent Iris Melanoma

Author Affiliations

Washington, D.C.
Former Fellow in Ophthalmic Pathology, National Institute of Neurological Diseases and Blindness, United States Public Health Service, at Armed Forces Institute of Pathology (Dr. Kurz).
Chief, Ophthalmic Pathology Branch, and Registrar, Registry of Ophthalmic Pathology, Armed Forces Institute of Pathology (Dr. Zimmerman).
From the Registry of Ophthalmic Pathology, Armed Forces Institute of Pathology, Washington 25, DC.

Arch Ophthalmol. 1963;69(5):581-582. doi:10.1001/archopht.1963.00960040587009
Abstract

Report of Case  Several important features of malignant melanomas of the iris are well illustrated in the case of an 80-year-old white woman. In September, 1961, she developed a total hyphema and glaucoma with a sudden onset of pain and loss of light perception in the left eye. The right eye had a visual acuity of 20/20 and was normal.Nine years previously (1952) a malignant melanoma of the iris of mixed cell type had been excised from the left eye. This neoplasm had been observed for about four years and was localized to the pupillary zone between the 5 and 7 o'clock meridians. There was no evidence of pigment deposition in the angle. In 1953 there was no evidence of recurrence. A letter in August, 1957, indicated "no trouble whatsoever since the operation." Even though the patient had not been examined between 1953 and 1961, the ophthalmologist recognized the

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