Conjunctival Melanoma: Current Management. (PubMed, Int Ophthalmol Clin)
Topical mitomycin-C eye drops are used for diffuse flat melanoma or PAM with severe atypia...Risk factors for metastasis include: greater tumor thickness, non-bulbar location, low tumor pigmentation, histologic ulceration, >1 mitotic figure per mm2, and adjacent structures invasion. Localized tumors should be excised en block, and incisional biopsy should be avoided, which could lead to local widespread tumor dissemination and subsequent recurrence and metastasis.