We describe the histological features of 2 patients who underwent transcleral local resection as management for suspected choroidal melanoma. Pathological examination of these tumors reveals the constituents to be primarily benign glial cell proliferation with secondary vasoproliferation. The weight of the literature agrees with a reactionary process.
Transcleral resection has a place where diagnosis is difficult.
It prevents an unnecessary enucleation and allows accurate tissue diagnosis. Accepted for publication November 29, 1999. All rights reserved.