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Local Extraocular Extension

R. L. ALEXANDER, MD; MICHAEL SHEA, MB, FRCS(C)

Arch Ophthalmol. 1964;72(4):498-500.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The following is a report of two cases of malignant melanoma en plaque, one of which developed extraocular spread and both of which presented with retinal detachment.

Report of Cases

Case 1.

—A 59-year-old Italian male presented with loss of vision in his right eye, having noticed a sudden change in his vision five months previously.

Examination revealed a total retinal detachment with a dark mass encircled by flame-shaped hemorrhages at the macula. He requested that the lesion be followed. On the next visit, two weeks later, the retina was reattached superiorly but the dark mass and hemorrhages remained unchanged. A P³² test had been carried out and was normal. The patient was advised to have the eye removed, as there was no useful vision and a malignant melanoma could not be excluded. Approximately five months later the patient developed hemorrhagic glaucoma. Examination with the biomicroscope revealed a hyperemic . . . [Full Text PDF of this Article]

Author Affiliations
Toronto, Canada

From the Department of Ophthalmology, Faculty of Medicine, University of Toronto, Ontario, Canada

Footnotes
Submitted for publication March 9, 1964.

This study was supported by National Health grant 605-9-217.

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