Conjunctival malignant melanoma with intraocular extension

We present a 65-year-old woman who underwent repeated surgery after being diagnosed as a case of recurrent malignant melanoma. Initial treatment included surgical excision with adjuvant cryotherapy and alcohol corneal epithelialectomy. Three years after initial surgery, intraocular extension of the melanoma was observed, and enucleation was performed. Findings from histopathological examination revealed a malignant melanoma occupying part of the ciliary body and the trabecular meshwork. Therefore eyes with recurrent malignant melanoma of the conjunctiva should be carefully monitored for intraocular extension. (Rawal Med J 2013;38: ).