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Malignant melanoma of the eye is uncommon and there is little knowledge about its epidemiology. Routine statistics which are based on the International Classification of Diseases (World 'Health Organization, 1977) do not differentiate melanoma of the eye from other histologies of eye malignancy. Data on eye melanoma in parts of the United States have been reported by Scotto et al. (1976). For many other countries eye melanoma data have not been published, but studies have been reported' using data on eye cancer in persons aged 15 years and over as a surrogate for eye melanoma data (Hakulinen et al., 1978; Strickland & Lee, 1981). In the present study, data on all cases of eye cancer occurring in residents of the Oxford Region* 1952-78 were obtained from the Oxford Cancer Registry. For eye melanomas, directly agestandardised incidence rates for each year using the "European" population from "Cancer Incidence in Five Continents" (Waterhouse et al., 1976) as the standard, and mean annual age-specific incidence rates 1952-78, were calculated; the denominators used were annual age-specific population es'timates from published sources (Registrar General, 1959; Ministry' of Health & General Register Office, 1961-69; DHSS et al., 1970-81) or when these were not available (1952-54) extrapolated estimates. Seasonality of month of birth and of month of first attendance at hospital for eye melanoma were tested by the method of Edwards (1961). One hundred and torty-five eye cancers in males and 135 eye cancers in females occurred in Oxford Region residents during 1952-78. In the age-group 0-14 years most eye cancers (17 (89%) in males and 18 (78%) in females) were retinoblastomas; under 10% in both sexes (1 male, 2 females) were melanomas, and 1 male and 3 females had other histologies. In the age-group 15 years and over 83% (105) of eye cancers in males and 88%Y (99) of female eye cancers were melanomas, there was 1

Epidemiology of melanoma of the eye in the Oxford Region, 1952-78