Breast cancer has the well-known propensity to metastasize to almost a
ny organ, giving rise to an almost unlimited variability of clinical s
yndromes. Ophthalmic metastases may become a part of such a pattern. O
rbital and ocular metastases are not a rare event within the clinical
evolution of a breast cancer, accounting for about 2-10%. Their diagno
sis is usually simple and involves only clinical and noninvasive metho
ds. Radiotherapy is the treatment of choice in most of these situation
s and should obviate the need for exenteration. Radiotherapy is always
rewarding, enhances the comfort of the patient by preventing further
loss of vision and even promotes his recuperation. Radiotherapy plays
an important role in the relief of the symptoms and for the patient's
well-being. Local curability is high, but probably has no influence on
the course of the metastatic disease.