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Editor,—Melanocytic lesions of the episclera include Axenfeld nerve loop, episcleral melanocytosis, ochronosis, conjunctival naevus, cellular blue naevus, melanocytoma, conjunctival melanoma with deep extension, extraocular extension of uveal melanoma, or metastatic melanoma.1-5 The occurrence of an episcleral melanoma without conjunctival, uveal, or skin involvement is extremely rare. We report an unusual case of malignant melanoma occurring as an isolated tumour on the episcleral surface.
A 36 year old healthy man developed a pigmented epibulbar lesion in the left eye over a 1 year period. There was no history of ocular trauma, cutaneous melanoma, or dysplastic naevus syndrome. Ocular examination revealed visual acuities of 6/6 in …
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