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Median artistic acuity ended up being 1.00 pre-surgery, at the end of followup this was 1.00 (Sr-9 and 0.95 (Ru-106). CONCLUSION Local excision with adjuvant brachytherapy provides great tumour control with exemplary artistic outcome and mild complications in patients with limited conjunctival melanoma. Outcomes after Sr-90 or Ru-106 were comparable; a choice for either therapy are considering experience of the clinician and option of