A white male, age 28, was first examined April 27, 1929. There was a history of failing vision for "several" years. The left fundus showed a uniform gray-white, rather flat mass extending from the disc margin downward and outward. The mass was about three disc diameters wide, and grossly was unpigmented. Vision was 20/200. A diagnosis of malignant melanoma was made despite the flat appearance and lack of pigment. The patient rejected enucleation. He was told to report back in one to two months. He did not return until 11 months later. The left eye had become moderately painful, and the mass had increased considerably in size. There was a small amount of pigmentation at the extreme periphery. The eye was enucleated on April 9, 1930.
The gross and microscopic description of the primary choroidal tumor as recorded by Dr. J. L. Goforth is given below:
NEWTON FH. Malignant Melanoma of ChoroidReport of a Case With Clinical History of 36 Years and Follow Up of 32 Years. Arch Ophthalmol. 1965;73(2):198-199. doi:10.1001/archopht.1965.00970030200009