Figure 1.

(a) Choroidal melanoma in the left eye of a 40-year-old woman treated with an eccentrically positioned, ruthenium plaque in 1986; (b) Fundus appearance 3 years later. Ten years post-operatively, the visual acuity was 6/6 and 26 years after treatment the patient was still alive. (c) Exudative retinopathy after ruthenium plaque radiotherapy of a ciliary body melanoma in the left eye of a 51-year-old man with diabetes. The ‘toxic tumour' was excised in 1989. (d) Fundus appearances 3 years later, showing resolution of the exudation. (e) Inferior, juxtapapillary, choroidal melanoma with a basal diameter of 10.4 mm and a thickness of 9.6 mm, in the right eye of a 65-year-old man. The patient was treated by endoresection in 1999. (f) Post-operative fundus appearance. Thirteen years after surgery, the visual acuity with the operated eye was 6/5. All procedures performed by the author.