Perry H D, Zimerman L E, Benson W E
Arch Ophthalmol. 1977 Feb;95(2):281-3. doi: 10.1001/archopht.1977.04450020082014.
Isolated retinal arterial aneurysms or macroaneurysms of the retinal arteries may be the cause of hemorrhage in the retina or vitreous. Two cases are reported in which hemorrhages from isolated retinal arterial aneurysms clinically simulated malignant melanoma of the choroid. Previous studies of lesions simulating malignant melanoma of the uvea have shown that vitreous and retinal hemorrhage may easily mislead the clinician. It is stressed that careful prolonged observation does not materially decrease the patient's chance for survival if he does have a malignant melanoma and may prevent an unnecessary enucleation.
孤立性视网膜动脉瘤或视网膜动脉大动脉瘤可能是视网膜或玻璃体出血的原因。本文报告了两例病例，其中孤立性视网膜动脉瘤引起的出血在临床上酷似脉络膜恶性黑色素瘤。以往对模拟葡萄膜恶性黑色素瘤病变的研究表明，玻璃体和视网膜出血很容易误导临床医生。需要强调的是，如果患者确实患有恶性黑色素瘤，仔细的长期观察并不会实质性降低其存活几率，且可避免不必要的眼球摘除术。
