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Article
October 1964

Malignant Melanoma en PlaqueLocal Extraocular Extension

Author Affiliations

Toronto, Canada
From the Department of Ophthalmology, Faculty of Medicine, University of Toronto, Ontario, Canada

Arch Ophthalmol. 1964;72(4):498-500. doi:10.1001/archopht.1964.00970020498011
Abstract

The following is a report of two cases of malignant melanoma en plaque, one of which developed extraocular spread and both of which presented with retinal detachment.

Report of Cases 

Case 1.  —A 59-year-old Italian male presented with loss of vision in his right eye, having noticed a sudden change in his vision five months previously.Examination revealed a total retinal detachment with a dark mass encircled by flame-shaped hemorrhages at the macula. He requested that the lesion be followed. On the next visit, two weeks later, the retina was reattached superiorly but the dark mass and hemorrhages remained unchanged. A P32 test had been carried out and was normal. The patient was advised to have the eye removed, as there was no useful vision and a malignant melanoma could not be excluded. Approximately five months later the patient developed hemorrhagic glaucoma. Examination with the biomicroscope revealed a hyperemic

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