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This study presents a case of bilateral rectus muscle metastasis from malignant melanoma. Furthermore a literature review and pooled data analysis is undertaken with 43 articles encompassing 77 patients and 101 eyes. Mean age was 53 years, 54% were male, 66% had unilateral involvement and 34% had bilateral involvement. The primary malignancies were melanoma (\n                    <jats:italic>n<\/jats:italic>\n                    = 17, 22%), breast (\n                    <jats:italic>n<\/jats:italic>\n                    = 15, 15%) and carcinoid (\n                    <jats:italic>n<\/jats:italic>\n                    = 11, 14%). A single muscle was involved in 56 eyes (67%) and multiple muscles in 27 eyes (33%). Lateral rectus was most commonly affected (\n                    <jats:italic>n<\/jats:italic>\n                    = 44, 53%). Presenting symptoms included restricted eye movements (\n                    <jats:italic>n<\/jats:italic>\n                    = 48, 62%), proptosis (\n                    <jats:italic>n<\/jats:italic>\n                    = 45, 58%), diplopia (\n                    <jats:italic>n<\/jats:italic>\n                    = 27, 35%) and pain (\n                    <jats:italic>n<\/jats:italic>\n                    = 18, 23%). Scattered case reports have previously made it difficult to characterise this phenomenon thus a pooled data analysis is presented.\n                  <\/jats:p>","DOI":"10.1111\/ceo.13162","type":"journal-article","created":{"date-parts":[[2018,2,2]],"date-time":"2018-02-02T10:12:58Z","timestamp":1517566378000},"page":"687-694","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Metastasis to the extraocular muscles: a case report, literature review and pooled data analysis"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8431-9040","authenticated-orcid":false,"given":"Vannessa","family":"Leung","sequence":"first","affiliation":[{"name":"Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"The University of New South Wales  Sydney New South Wales Australia"},{"name":"The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Wei","sequence":"additional","affiliation":[{"name":"Royal North Shore Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy V","family":"Roberts","sequence":"additional","affiliation":[{"name":"Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"The University of Sydney  Sydney New South Wales Australia"},{"name":"Vision Eye Institute  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,3,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0b013e3282c5077c"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(67)91298-6"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1076\/opep.9.1.35.1718"},{"key":"e_1_2_7_5_1","first-page":"657","article-title":"Primary, histologically confirmed orbital tumours in Denmark 1943\u20101962. 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