Expulsive Hemorrhage at Cataract Surgery:  Unsuspected Choroidal Melanoma

Arch Ophthalmol. 1964;71(2):209-210. doi:10.1001/archopht.1964.00970010225014.
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Expulsive choroidal hemorrhage is uncommon during or after cataract surgery. The following report concerns a rare case in which the expulsive hemorrhage occurred in an eye containing an unsuspected malignant melanoma of the choroid.

A 56-year-old woman was found to have bilateral nuclear cataracts in 1956. In 1960 an uneventful cataract extraction was performed on the left eye with excellent postoperative vision. The cataract in the right eye gradually became more mature but surgery was deferred by the patient.

In June, 1961, the right fundus could not be seen because of the cataract. The intraocular pressure measured 6/5.5 weight (Schiotz) in each eye. The patient failed to return until April, 1963, when the vision in the right eye was light perception. (No statement was made by the contributing physician regarding the accuracy of light projection in the right eye). The tension was 3/7.5 (Schiotz) in the right eye and the


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