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August 1986

Malignant Melanoma at the Site of Penetrating Ocular Trauma

Author Affiliations

Brisbane, Australia

Arch Ophthalmol. 1986;104(8):1130. doi:10.1001/archopht.1986.01050200036030

To the Editor.  —Drs El Baba and Blumenkranz,1 in the March 1986 issue of the Archives, presented a well-documented clinicopathologic report supporting the association between trauma and ocular melanoma.I have also observed a case of a seeing eye with a choroidal malignant melanoma, which appeared at the site of an intraocular foreign body removed 30 years previously. The case is presented herein.

Report of a Case.  —A 63-year-old toolmaker presented to the Royal Victorian Eye and Ear Hospital, Melbourne, in August 1983 complaining of a foreign-body sensation and blurred vision in the left eye. He had a history of an intraocular foreign body removed from the left eye 30 years previously.On examination, his best-corrected visual acuity in the left eye was 20/40. Fundus examination revealed a solid choroidal mass (15-mm diameter × 10-mm height) in the upper nasal quadrant and an inferior shallow retinal detachment.The patient

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