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January 1997

Metastatic Choroidal Melanoma to the Contralateral Orbit 40 Years After Enucleation

Author Affiliations

New York, NY

Arch Ophthalmol. 1997;115(1):134. doi:10.1001/archopht.1997.01100150136036

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In response to the article titled "Metastatic Choroidal Melanoma to the Contralateral Orbit 40 Years After Enucleation" by Coupland et al in the June issue of the Archives (1996; 114:751-756)we also had a patient in whom metastatic choroidal melanoma to the contralateral orbit developed. Initially, a 27-year-old white man was seen with a loss of peripheral vision in his right eye. His condition was diagnosed as a choroidal melanoma measuring 8.5×16 mm. Results of a metastatic workup were negative. He was treated with a 20-mm iodine 125 plaque to his right eye. Five and one half years later, the right eye choroidal melanoma was undetectable on ultrasound scanning but the patient was seen with decreased visual acuity and peripheral vision, 2 mm of proptosis and papilledema of the left eye. B-scan and magnetic resonance imaging confirmed a left orbital mass. A metastatic workup revealed metastatic melanoma to the liver,

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