What is the role of orbital exenteration in the treatment of choroidal melanoma?

Updated: Dec 12, 2018
  • Author: Enrique Garcia-Valenzuela, MD, PhD; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Answer

Answer

Orbital exenteration is a radical treatment reserved for cases with widespread orbital extension. Patients with such advanced melanomas are likely to have extensive distant metastases and poor prognoses, with or without orbital exenteration surgery. The usefulness of such disfiguring surgery is not established; the procedure should be considered only in rare cases where marked discomfort is associated with massive orbital spread of the melanoma.


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