Orbital exenteration 14 years after evisceration for misdiagnosed choroidal melanoma

We present a case of orbital recurrence of choroidal melanoma 14years post-evisceration. Initially misdiagnosed as trauma-related, the patient's condition progressed, leading to neovascular glaucoma and retinal detachment. Subsequent pain and complications prompted evisceration without a pathological evaluation. Fourteen years later, an orbital mass was identified, leading to an orbital exenteration. This case demonstrates the potential for long-term local-regional recurrence of choroidal melanoma and highlights the importance of thorough examination and pathological evaluation in cases of a painful, sightless eye to prevent delayed diagnoses and improve patient outcomes.