Management of choroidal metastases

Highlights • Choroidal metastases are the most frequent malignant tumors of the eye. • They can lead to severe complications (such as blindness) and significant deterioration of the quality of life. • Radiation therapy is the treatment of reference: it yields high local control rates and improvement of visual function. • Palliative fractionation is often recommended but more focused techniques may be discussed. • Systemic treatments provide promising outcomes in selected cases, thus requiring further assessment.