Uveal melanoma surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D., Simrat Sarai, M.D. [2]

Overview

Surgery is the mainstay of treatment for uveal melanoma. The following types of surgery may be used resection, enucleation, and exenteration.

Surgery

• The mainstay of treatment for uveal melanoma is surgery. The following types of surgery may be used:
  • Resection: Surgery to remove the tumor and a small amount of healthy tissue around it.
    • Trans-scleral partial choroidectomy (cyclochoroidectomy): this is an option for the subset of patients with choroidal or ciliochoroidal tumors who are poor candidates for radiotherapy.
    • Transretinal endoresection
  • Enucleation: Surgery to remove the eye and part of the optic nerve. This is done if vision cannot be saved and the tumor is large, has spread to the optic nerve, or causes high pressure inside the eye. After surgery, the patient is usually fitted for an artificial eye to match the size and color of the other eye.
  • Exenteration: Surgery to remove the eye and eyelid, and muscles, nerves, and fat in the eye socket. After surgery, the patient may be fitted for an artificial eye to match the size and color of the other eye or a facial prosthesis.