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To the Editor:
—The case reported by B. Rones and L. E. Zimmerman in the Archives of Ophthalmology,, July, 1963, page 30, is highly interesting. I have never seen in an otherwise normal eye, a small area of necrosis of the choroid. It may be that the lesion described as such is really a small malignant melanoma that has undergone complete or almost complete necrosis. More sections might answer this question. Many years ago, in Ophthalmology 4:605, 1908, I described a tumor in the pars plana of the ciliary bodies, a small malignant melanoma (then termed sarcoma) that had undergone almost complete necrosis. This tumor, however, had given rise to intra- and extraocular metastases, in spite of its small size, and had not caused hemorrhage.
Verhoeff FH. CHOROIDAL NECROSIS AND MELANOMA. Arch Ophthalmol. 1963;70(4):588. doi:10.1001/archopht.1963.00960050590033