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The prognosis is rather dismal as supraclavicular nodes are mostly the prelude to new metastases. Supraclavicular nodes can well be treated but the treatment does not influence survival.

Breast cancer has the well-known propensity to metastasize to almost any organ, giving rise to an almost unlimited variability of clinical syndromes. Ophthalmic metastases may become a part of such a pattern. Orbital and ocular metastases are not a rare event within the clinical evolution of a breast cancer, accounting for about 2-10%. Their diagnosis is usually simple and involves only clinical and noninvasive methods. Radiotherapy is the treatment of choice in most of these situations and should obviate the need for exenteration. Radiotherapy is always rewarding, enhances the comfort of the patient by preventing further loss of vision and even promotes his recuperation. Radiotherapy plays an important role in the relief of the symptoms and for the patient’s well-being. Local curability is high, but probably has no influence on the course of the metastatic disease.

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