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Intraocular Melanoma

Recurrent intraocular melanoma refers to cases of the cancer that have come back (recurred) after they were treated.

Treatment for Intraocular Melanoma

Treatment options for intraocular melanoma may include:
  • Surgery (taking out the cancer)
  • Radiation therapy (using high-dose x-rays or other high-energy rays to kill cancer cells)
  • Laser therapy (using an intensely powerful beam of light to destroy the tumor or blood vessels that feed the tumor).
In some cases (such as when the cancer is small and causing no symptoms), the treatment plan may involve monitoring the patient's cancer carefully and waiting to treat it until it changes or causes symptoms. This is sometimes known as watchful waiting.
Treatment for intraocular melanoma most commonly involves surgery. A doctor may remove the cancer using one of the following operations:
  • Iridectomy, which removes only parts of the iris
  • Iridocyclectomy, which removes parts of the iris and the ciliary body
  • Choroidectomy, which removes parts of the choroid
  • Enucleation, which removes the entire eye
  • Orbital exenteration, which removes the eye and other tissues within the eye socket
  • Iridotrabeculectomy, which removes parts of the iris and the supporting tissues around the cornea, the clear layer covering the front of the eye.
Radiation Therapy
Radiation therapy uses x-rays or other high-energy rays to kill cancer cells and shrink tumors. Radiation may be administered from a machine outside the body (external-beam radiation therapy) or from materials that contain radiation (radioisotopes) placed in the area where the cancer cells are found (internal radiation therapy).
For people with intraocular melanoma, doctors may use internal radiation therapy administered with small implants called plaques. Radiation can be used alone or in combination with surgery.
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