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May 1970

Hemorrhagic Macrocyst of the Retina: Mistaken for Malignant Melanoma of the Choroid

Author Affiliations

From the Department of Ophthalmology, Hermann Hospital, Houston.

Arch Ophthalmol. 1970;83(5):588-590. doi:10.1001/archopht.1970.00990030588011

MANY conditions have been mistakenly diagnosed as malignant melanoma of the choroid and these errors have led to unnecessary enucleation. A macrocyst of the retina filled with organized hemorrhage is one more example of a condition which can be erroneously diagnosed as choroidal melanoma. In the following case, this error resulted in enucleation.

Report of a Case  The patient underwent cataract extraction, OS, in 1958 at the age of 44. A retinal detachment developed in the left eye several months following cataract surgery. A scleral buckling operation at that time failed to reattach the retina and nothing further was done.The patient contacted me in 1967 to see if further surgery might repair this nine-year-old retinal detachment in the left eye.She was examined on June 3, 1967. In the right eye, the vision was only 20/100, with correction, due to a dense nuclear cataract. The refractive error was −14.00