Boniuk and Zimmerman1 reported on 57 patients with choroidal melanomas who had been operated on for retinal detachment. These authors estimated that 2% of the choroidal melanoma cases on file in the Registry of Ophthalmic Pathology have had one or more operations for retinal detachment prior to enucleation. In our laboratory two such cases have been encountered, one of them being a case of ring melanoma.2 It was stated in both clinical reports that a retinal hole had been present; this hole, however, could not be detected by histological examination.
Boniuk and Zimmerman3 emphasize that the presence of retinal holes or tears does not necessarily rule out a choroidal tumor, since retinal breaks are not infrequently seen in otherwise normal eyes. This statement is endorsed by Okun's4 finding of retinal breaks without detachment in approximately 5% of 250 autopsies, and by pictures of one of the
MANSCHOT WA. Retinal Hole in a Case of Choroidal Melanoma. Arch Ophthalmol. 1965;73(5):666-668. doi:10.1001/archopht.1965.00970030668014