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Mordechai Rosner, MD

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

The article by Eagle et al¹ and the editorial in reference to it² are most important, and obviously will change the surgical management of blind, painful eyes. This article has far wider clinical implications than just indicating the danger in eviscerating eyes with occult neoplasia.

An intraocular malignant melanoma is also life threatening when no evisceration is performed. Thus, it should be stressed that all patients with blind eyes should undergo monitoring for occult neoplasm periodically, not only before surgery. B-scan ultrasound should be used whenever the media is opaque. Moreover, when the results are inconclusive, the possibility of occult intraocular neoplasia may be an indication for enucleation, even when the blind eye is not painful.

The same evaluation should be performed before enucleation as before evisceration. Leaving a malignant tumor in the orbit is as dangerous after enucleation as after evisceration. Enucleated eyes should be carefully . . . [Full Text of this Article]

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