Would you consider SBRT for an intraocular/choroidal metastasis?

For solitary choroidal metastasis, I would recommend eye plaque brachytherapy using I-125 seeds with a dose of 4000 cGy at the apex in about 90 +/- hours. If the tumor is abutting or close to the optic disc, use a notched plaque instead.

For those who are not eligible for eye plaque, there is a good body of literature supporting the use of SRS or HSRT for uveal melanoma.

Kosydar et al., PMID 33208706