Intraocular Extension of an Epibulbar Malignant Melanoma

Squamous Cell Carcinoma of the Limbus with Intraocular Invasion

“…The intraocular invasion, which has also taken place at the limbal region, probably through its numerous drainage and nerve channels, is consistent with the anatomical characteristics of this site, which is one of the least protected of the eyeball [2], An analysis of the different ocu lar structures involved shows that the cornea was characteristically in volved in surface, and in depth only to a minor degree. In a similar way, the sclera involvement remained limited to the superficial layers.…”

Intraocular and Episcleral Melanoma Treated with Beta Radiation (¹⁰⁶Ru/¹⁰⁶Rh)

“…This then produced over the years a choroidal tumor which could also be treated by radiation. Such a behavior of an episcleral mela noma is extremely rare but not unheard of and may very well be precipitated by treat ment [5], As a matter of fact, most episcleral pigment spots lie close to an emissary of an anterior ciliary artery or a nerve loop [6].…”

Metachronous ispilateral conjunctival then choroidal melanoma

“…1 Treatment for peripapillary choroidal neovascularisation has involved observation, thermal laser photocoagulation, or surgical excision. 2 We report a case of peripapillary choroidal neovascularisation from papilloedema secondary to pseudotumour cerebri that was successfully treated with combination photodynamic therapy and juxtascleral triamcinolone acetonide.…”

“…Surgical removal of peripapillary lesions is invasive and can often lead to defects in the retinal pigment epithelium. 2 Photodynamic therapy has recently been reported to be safe and successful in the treatment of peripapillary choroidal neovascularisation from age related macular degeneration and presumed ocular histoplasmosis syndrome. 4 The advantage of photodynamic therapy is the reduced risk of collateral damage to surrounding tissue, compared to surgical excision and thermal laser photocoagulation.…”