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Arch Ophthalmol. 1998;116:531-533.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Uveal melanoma is the most common primary intraocular malignant neoplasm, and its management is still controversial. Enucleation was for many years considered the preferred method of treatment, but radiation therapy and other conservative treatments have been used with increasing frequency during the last 2 decades. These conservative methods of management have not been used often in cases of extrascleral extension of uveal melanomas. We report a case of massive orbital extension of a choroidal melanoma managed by resection of the extrascleral portion of the tumor and proton beam irradiation (PBI) of the intraocular portion of the tumor.

Report of a Case

A 68-year-old white man was referred for evaluation of a left orbital mass. The lesion was first noticed as a superotemporal forniceal mass. Its presence was confirmed by magnetic resonance imaging (Figure 1).

Figure appears in full text version. Figure 1. Axial (left) and coronal (right) T1-weighted magentic resonance imaging studies demonstrating elongated left temporal orbital . . . [Full Text of this Article]

Comment
Reprints: Evangelos S. Gragoudas, MD, Massachusetts Eye and Ear Infirmary, 243 Charles St, Boston, MA 02114-3096.