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Turk J Ophthalmol. 2019 Oct 24;49(5):305-309. doi: 10.4274/tjo.galenos.2019.35589.

Choroidal Melanoma Metastatic to the Contralateral Medial Rectus After Orbital Exenteration

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Royal Victorian Eye and Ear Hospital, Orbit, Plastics and Lacrimal Unit, East Melbourne, Victoria, Australia
St. Vincent’s University Hospital, Anatomical Pathology Department, Fitzroy, Victoria, Australia
Victorian Oncology Care, Berwick, Victoria, Australia


A 78-year-old Caucasian woman presented with pain in her right and only eye that was worse on abduction. Her history was significant for a choroidal melanoma affecting her left eye for which she underwent an orbital exenteration 12 years previously. Computed tomography and magnetic resonance imaging of the right orbit identified a mass lesion affecting the medial rectus, suspicious for metastatic melanoma. A histopathological diagnosis of metastatic melanoma was subsequently made following biopsy of the right medial rectus.


Melanoma; orbital metastasis; exenteration; cancer

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