Report of Case
Several important features of malignant melanomas of the iris are well illustrated in the case of an 80-year-old white woman. In September, 1961, she developed a total hyphema and glaucoma with a sudden onset of pain and loss of light perception in the left eye. The right eye had a visual acuity of 20/20 and was normal.Nine years previously (1952) a malignant melanoma of the iris of mixed cell type had been excised from the left eye. This neoplasm had been observed for about four years and was localized to the pupillary zone between the 5 and 7 o'clock meridians. There was no evidence of pigment deposition in the angle. In 1953 there was no evidence of recurrence. A letter in August, 1957, indicated "no trouble whatsoever since the operation." Even though the patient had not been examined between 1953 and 1961, the ophthalmologist recognized the
KURZ GH, ZIMMERMAN LE. Spontaneous Hyphema and Acute Glaucoma as Initial Signs of Recurrent Iris Melanoma. Arch Ophthalmol. 1963;69(5):581–582. doi:10.1001/archopht.1963.00960040587009
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