Page 34 - The Freckled Eye - Book

· Enucleation is the common approach to choroidal melanomas and has been the

desired treatment for large (basal length less than15 mm and height less than

10 mm) and complex tumors, which concede visual role and for which other

therapies be likely to fail

· Plaque brachytherapy is a commonly recognized option to enucleation for the

treatment of medium-sized posterior uveal melanomas (more than 10 mm in

height and more than 15 mm in length)

· External beam irradiation with helium ions or protons is a commonly used

substitute for medium-sized choroidal melanomas treatment, although it has

been used for larger tumors

· Pars plana vitrectomy endoresection

· Block excision (sclerouvectomy) is another treatment technique set aside for

small tumors covering below one third of the globe’s boundary

· Transpupillary thermotherapy and laser photocoagulation are made use of to

treat certain small choroidal melanomas that are positioned outside the fovea

and are under 3 mm in depth

· Orbital exenteration is a major treatment set aside for cases with pervasive

orbital extension; it have to be considered only in rare situations where marked

distress is connected with huge orbital spread of the melanoma

Additional Info

It is very crucial to note that as related to like-sized malignant melanoma of

the skin, patients are very likely to outlive or survive a choroidal melanoma.

This is because it is very hard for a choroidal melanoma to spread from the

eye to other body parts. On the other hand, large (choroidal melanoma) tumor

size reduces the possibility that vision-sparing treatments will be effective.