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Massive orbital recurrence of uveal melanoma without metastases after 28 years
  1. Jonathan J Ross1,
  2. Simon J Dean1,
  3. David A Koppel2,
  4. Fiona Roberts3,
  5. Ewan G Kemp1
  1. 1Tennent Institute of Ophthalmology, Gartnavel General Hospital, Glasgow, UK
  2. 2Regional Maxillofacial Unit, Southern General Hospital, Glasgow, UK
  3. 3Department of Pathology, University of Glasgow, Western Infirmary, Glasgow, UK
  1. Correspondence to Dr Jonathan J Ross, Tennent Institute of Ophthalmology, Gartnavel General Hospital, 1053 Great Western Road, Glasgow G12 0YN, UK; mrjonathanross{at}yahoo.com

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Case

A 64-year-old Caucasian male presented with non-axial proptosis of the left eye which had progressed over 4 months with recent discomfort and diplopia. He was otherwise well. His past ocular history was of collar-stud choroidal melanoma in the left eye aged 36. This tumour was in the inferonasal quadrant with a diameter of 10 mm. Trans-scleral resection was performed with laser photocoagulation around the tumour base preoperatively to reduce the risk of retinal detachment. Histological examination of the tumour showed a pigmented uveal melanoma of …

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