Modified Orbitozygomatic Craniotomy for Resection of Uveal Melanoma Invading the Optic Nerve and Extending Into the Optic Chiasm Causing Contralateral Vision Loss
Abstract
Uveal Melanomas are the most common primary intraocular malignancy in adults, with tumor extension to surrounding structures occurring in roughly 3% of patients. Invasion into the optic nerve and extension to the optic chiasm is exceedingly rare, with only a handful of cases documented in the literature. We present a surgical video demonstrating a rare case of uveal melanoma with extension to the optic chiasm that was surgically managed with a modified orbitozygomatic (OZ) craniotomy. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Fields of Study & Subjects
Ocular Oncology and Treatments
Head and Neck Surgical Oncology
Meningioma and schwannoma management
Publication details
- Journal / source
- Journal of Neurological Surgery Part B Skull Base
- Volume
- 87
- Issue
- S 01
- Pages
- S1–S548
- Publication date
- 27 February 2026
- Language
- EN