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Treatment of Medium and Large Choroidal Melanoma
For medium-sized choroidal melanomas, treatment may include:
 
  • Internal radiation therapy using small implants (plaques)
  • External-beam radiation therapy
  • Internal radiation therapy followed by laser therapy (coagulation or thermotherapy)
  • Surgery to remove the eye (enucleation)
  • Surgery to remove the tumor and part of the iris or choroid (iridocyclectomy or choroidectomy).
 
For large choroidal melanomas, treatment may include external-beam radiation therapy followed by enucleation or enucleation.
 
Treatment for Extraocular Extension and Metastatic Intraocular Melanoma
For extraocular extension, treatment will most likely involve surgery to remove the eye and other tissues in the eye socket (orbital exenteration) with or without radiation therapy. There is no systemic treatment for metastatic intraocular melanoma.
 
Treating Recurrent Intraocular Melanoma
Treatment for recurrent intraocular melanoma will depend on factors such as:
 
  • The treatment that the patient received before
  • The patient's age and health
  • Where the cancer came back
  • How far the cancer has spread.
 
Patients with recurrent melanoma may also want to consider taking part in a clinical trial.
 
Written by/reviewed by:
Last reviewed by: Arthur Schoenstadt, MD
Last updated/reviewed:
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