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Hematoma Beneath the Retinal Pigment EpitheliumReport of a Case Mistaken Clinically for a Malignant Melanoma of the Choroid
MAJ T. J. TREDICI, USAF (MC);
R. H. FENTON, MD
Arch Ophthalmol. 1964;72(6):796-799.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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In its early stages a hematoma beneath the retinal pigment epithelium is said to simulate a malignant melanoma of the choroid more closely than any other lesion.1-3 These hematomas are characterized clinically by the sudden onset of visual loss associated with a dark, rounded thickening at the posterior pole. The hemorrhagic nature of the lesion usually becomes evident within ten days to two weeks after onset, as it begins to clear, or as hemorrhage appears at its edges.
This report concerns a case in which a dark, elevated tumor appeared several weeks after the discovery of a hemorrhagic lesion in the macular area. The rapid appearance of this dark mass, which increased in size and became elevated, led to a clinical diagnosis of malignant melanoma of the choroid, and the eye was enucleated.
Report of Case
Clinical History.
—An 84-year-old white woman noted the sudden onset of blurred vision
. . . [Full Text PDF of this Article]
Author Affiliations
Washington, DC
United States Air Force Fellow in Ophthalmic Pathology, Armed Forces Institute of Pathology (Major Tredici); Special Fellow in Ophthalmic Pathology, National Institute of Neurological Diseases and Blindness, United States Public Health Service, at the Armed Forces Institute of Pathology (Dr. Fenton).; From the Registry of Ophthalmic Pathology, Armed Forces Institute of Pathology.
Footnotes
Read before the meeting of the Eastern Ophthalmic Pathology Club, Miami, Fla, Jan 24-25, 1964.
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