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The following are treatment options for all stages of the intraocular melanoma of the choroid. The types of treatments given are based on the unique needs of the person with cancer and the status of their vision.
Radiation therapy may be offered for small- to medium-sized choroidal melanomas. It is usually reserved for less extensive choroidal melanomas. The types of radiation therapy treatment that may be used include:
Radiation may also be given before enucleation for treating large choroidal melanomas.
Surgery may be offered for small-, medium- and large-sized choroidal melanomas. The types of surgeries include:
Active surveillance may be an option for some people with a small, slow-growing melanoma of the choroid. Treatment is given if the tumour begins to grow.
Laser surgery, including transpupillary thermotherapy (TTT), is not used as a primary treatment for melanoma of the choroid. It is sometimes given as an additional (adjuvant) treatment.
People with intraocular melanoma may be offered the opportunity to participate in clinical trials. For more information, go to clinical trials.
The Canadian Cancer Society is actively lobbying the federal government to establish a national caregivers strategy to ensure there is more financial support for this important group of people.