脉络膜恶性黑色素瘤的处理最近已成为相当争论的问题。数年前大多数眼科医师相信,对一个疑为脉络膜黑色素瘤的眼,眼球摘出术是正当的,不应延迟。一些最新近的观察导致再次评定眼球摘出术做为脉络膜黑色素瘤治疗是否得当。对早期行眼球摘出予以评价的一个因是很多因怀疑脉络膜黑色素瘤而摘除的眼球,病理研究显示病变并非真正黑色素瘤。另一点是新近对Callender的脉络膜黑色素瘤分类的再估价。其 The treatment of choroidal malignant melanoma has recently become a matter of considerable debate. A few years ago, most ophthalmologists believed that eyeball extraction was justified for a suspected choroidal melanoma and should not be delayed. Some of the most recent observations have led to a reassessment of whether eyeball extraction is appropriate as a choroidal melanoma treatment. One of the reasons for early eyeball extirpation is because many of the eyeballs are removed due to suspected choroidal melanoma. Pathological studies show that the lesion is not a true melanoma. Another point is the recent re-evaluation of Callender’s classification of choroidal melanoma. its