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Case Reports and Small Case Series
April 1998

Eye-Sparing Treatment of Massive Extrascleral Extension of Choroidal Melanoma

Arch Ophthalmol. 1998;116(4):531-533. doi:

Uveal melanoma is the most common primary intraocular malignant neoplasm, and its management is still controversial. Enucleation was for many years considered the preferred method of treatment, but radiation therapy and other conservative treatments have been used with increasing frequency during the last 2 decades. These conservative methods of management have not been used often in cases of extrascleral extension of uveal melanomas. We report a case of massive orbital extension of a choroidal melanoma managed by resection of the extrascleral portion of the tumor and proton beam irradiation (PBI) of the intraocular portion of the tumor.

A 68-year-old white man was referred for evaluation of a left orbital mass. The lesion was first noticed as a superotemporal forniceal mass. Its presence was confirmed by magnetic resonance imaging (Figure 1).