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To report uveal melanoma (UM) metastasis to the contralateral ocular and periocular structures. Retrospective study. Thirteen patients with UM metastasis to the contralateral ocular and periocular structures were included. Clinical records were reviewed retrospectively. The development and time to onset of contralateral ocular and periocular metastasis, systemic metastasis, and death. Of the 13 000 treated UM patients, 13 patients were diagnosed with UM metastasis to the contralateral ocular and periocular structures. Mean patient age at