March 1986

Malignant Melanoma at the Site of Penetrating Ocular Trauma

Author Affiliations

From the Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami School of Medicine. Dr Blumenkranz is now with the Associated Retinal Consultants, Royal Oak, Mich, and the Kresge Eye Institute, Detroit.

Arch Ophthalmol. 1986;104(3):405-409. doi:10.1001/archopht.1986.01050150105038

• We document clinically and histopathologically the development of a uveal melanocytic tumor at the site of penetrating ocular trauma in a 34-year-old man. A metallic intraocular foreign body was extracted via the inferonasal pars plana with an electromagnet in February 1975. At that time no intraocular tumor was noted and the visual acuity returned to 20/20. The patient developed floaters in January 1981, at which time findings from fundus examination and needle biopsy of the lesion suggested the presence of a spindle-cell melanoma. The diagnosis was confirmed histopathologically following enucleation. The possible association between trauma and ocular melanoma is discussed.