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June 5, 1981


JAMA. 1981;245(21):2208-2209. doi:10.1001/jama.1981.03310460060028

This year, significant advances have been made in both clinical and experimental ophthalmology.

Treatment of Conjunctival Melanoma  The treatment of diffuse malignant melanoma of the conjunctiva has been enriched by the recent experience of Jakobiec et al,1 who have had excellent success using cryotherapy for two extensive areas of flat intraepithelial melanosis. They advise surgical excisions of tumefactions and invasive melanomas, but find repeated cryoapplications most suitable for controlling widespread flat disease. This method would be of great benefit because it could avoid exenteration in patients who have widespread melanotic lesions. The conjunctiva treated by cryoapplication recovers quickly after a transient phase of inflammatory reaction. The conjunctival stroma is not damaged, and normal reepithelialization can occur from adjacent zones of conjunctiva.

Surgical Treatment of Myopia  The surgical treatment of myopia has attracted considerable attention in the lay media. A new approach, the radical keratotomy, was introduced into the United