Maurice F. Rabb » Large Lesion

25 year old white male who was first seen in October 1971 with a large lesion in the right eye. The visual acuity at that time was 20/20. The left eye was within normal limits, the vision 20/20.

Ten years previous to this examination the patient was reportedly seen by an ophthalmologist and the right eye was reposted to be normal with 20/20 vision.

Patient was photographed in 1972 and the examination shows a large elevated greenish-black lesion about 6 disc diameters in size. The patient was re-photographed in 1973-74-75 and the lesion does not appear to have changed in size. There are some new vessels present on the disc. The patient shows field defect corresponding to the lesion.

The patient was seen by Dr. D. Jackson Coleman in June 1975, who stated that the lesion was suspicious of malignant melanoma. A B-scan was done which showed certain inconsistencies making an absolute diagnosis questionable.

The patient was also seen by Dr.Ellsworth who felt that surfact characteristics of this through ophthalmoscope and contact lens was that of a possible hemangioma. Pagient's present visual acuity in the right eye is 20/70 with correction.