Treatment for conjunctival melanoma usually depends on how large or diffuse the tumour is, how the tumour came about, and whether it has invaded tissues around the eye. Treatment is most likely to include surgery and some form of additional treatment (known as adjuvant therapy).
Occasionally surgeons may need to use a graft in the eye to replace a piece of the conjunctiva. If the cancer is too large or has spread into the area around the eye, the eye and surrounding tissue (such as the eyelids) may need to be removed. This is called an exenteration.
Local recurrence is fairly common in conjunctival melanoma, so most patients are given adjuvant therapy such as cryotherapy, radiation therapy or topical chemotherapy. If surgery is not indicated, these therapies may be used as the primary treatment.
Treatment should start within 31 days of your treatment plan being agreed.
I had a clockface biopsy followed by cryotherapy and 8 weeks of Mitomycin drops -Jay Scott
I have had an excisional biopsy with wide margins and an amniotic graft with extensive cryotherapy in my first surgery. I have had a radiotherapy plaque and 2 courses of mitomycin C drops. -Katie Blair
I initially had cryotherapy then plaque as the melanoma reoccurred. I then had cryotherapy again on the upper eyelid. I have also had mitomycin drops after cryotherapy. -Sheila Koszary
I had a number of smaller operations over a number of years, with a couple of sessions of cryotherapy. Then my disease spread and I had to have my eye and lids removed (exenteration). -Helen Walmsley