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June 1963

Hemorrhage Into the Vitreous, a Presenting Manifestation of Malignant Melanoma of the Choroid

Author Affiliations

Former Fellow in Ophthalmic Pathology, National Institute of Neurological Diseases and Blindness, United States Public Health Service, at the Armed Forces Institute of Pathology, Washington 25, DC; present Chief Resident, Wilmer Ophthalmological Institute, Johns Hopkins University, Baltimore.; From the Registry of Ophthalmic Pathology, Armed Forces Institute of Pathology, Washington 25, DC.

Arch Ophthalmol. 1963;69(6):778-779. doi:10.1001/archopht.1963.00960040784020

Sudden loss of vision in one eye due to massive hemorrhage into the vitreous presents an interesting problem in differential diagnosis. In the absence of diabetes, hypertension, or other systemic disease, a most important consideration is the spontaneous development of a retinal tear, with or without detachment. Another less frequent cause of this clinical picture is exemplified by the patient's history in this case.

Report of Case  A 52-year-old Caucasian woman was apparently well when she suddenly "was able to see only half an object out of the right eye." The following morning her vision in this eye had decreased to bare light perception, and at this time she was examined by an ophthalmologist, who obtained only a dark funduscopic reflex. She was referred to another ophthalmologist for a retinal reattachment operation. Examination on the second day after the onset of visual loss revealed light perception with faulty projection in

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