Distant Subconjunctival Recurrences following Proton Therapy for a Choroidal Melanoma with Extrascleral Extension

Background

Orbital recurrences after proton therapy for uveal melanoma are rare. They either occur in cases with an extrascleral extension at presentation [1], [2] or following transvitreal surgery or a transscleral biopsy [3], [4]. The former tends to be located outside the scleral wall facing the tumor scar and the latter at the site of scleral entry. We report our first case since 1984 of a double distant subconjunctival recurrence from a choroidal melanoma with an extrascleral extension at presentation, treated with proton therapy and without a biopsy procedure.

• References

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