Choroidal Melanoma Metastatic to the Contralateral Medial Rectus After Orbital Exenteration

Choroidal Melanoma Metastatic to the Contralateral Medial Rectus After Orbital Exenteration

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A 78-year-old Caucasian woman presented with pain in her right and only eye that was worse on abduction.Her history was significant for a choroidal melanoma affecting her left eye for which she underwent an Right Side Sticker orbital exenteration 12 years previously.Computed tomography and magnetic resonance imaging of the right orbit identified a mass lesion affecting the medial rectus, suspicious for metastatic melanoma.A histopathological diagnosis Button of metastatic melanoma was subsequently made following biopsy of the right medial rectus.