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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

Author information

1
Royal Victorian Eye and Ear Hospital, Orbit, Plastics and Lacrimal Unit, East Melbourne, Victoria, Australia
2
St. Vincent’s University Hospital, Anatomical Pathology Department, Fitzroy, Victoria, Australia
3
Victorian Oncology Care, Berwick, Victoria, Australia

Abstract

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.

KEYWORDS:

Melanoma; orbital metastasis; exenteration; cancer

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