Enucleation – Removal of the eye and sometimes the socket depending on the tumor. The eye is usually fitted with a conformer in anticipation of a prosthetic eye. Sometimes a prosthetic is not an option and the eye is sutured shut.
Conjunctival melanomas are usually treated by surgical removal of the lesion, which in some centers is followed by radiotherapy to prevent the tumor from returning. Flat melanomas confined to the conjunctival surface are often treated with chemotherapy drops. Very rarely, advanced conjunctival melanomas require removal of the eye and surrounding tissues (exenteration). The chances of saving the eye and vision vary greatly depending on the size, location, and extent of the tumor. Latent side effects due to radiation treatment, such as fluid leakage from an irradiated tumor, detached retina, raised eye pressure, and other inner eye problems, can require extended treatments over years post-treatment. Regular examinations are necessary to detect and treat any recurrent tumor without delay.
Other treatment options may be available. Please consult your physician for treatment options that are right for you.