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Ophthalmology · Sub-specialty

Ocular Oncology

Overview

Ocular Oncology deals with tumors of the eye and surrounding structures, including the eyelids, orbit, and conjunctiva. This subspecialty focuses on diagnosing and treating ocular cancers like melanoma of the uvea, retinoblastoma in children, and other less common tumors. Treatment strategies can involve surgery, radiation therapy, laser therapy, and chemotherapy, tailored to the type and stage of the cancer, with the goals of preserving vision, preventing the spread of cancer, and saving the patient’s life.

Ocular Oncology
Our approach to care

Comprehensive ocular examinations and imaging including ultrasound, MRI, and CT scans, assess the extent and impact of ocular tumors. Biopsy procedures may be required for definitive diagnosis, utilizing fine-needle aspiration biopsy or incisional biopsy techniques under local or general anesthesia, depending on the tumor’s location and size. Genetic testing plays a crucial role in conditions like retinoblastoma, guiding treatment decisions and family counseling. Angiography and autofluorescence imaging help differentiate between benign and malignant lesions, particularly in uveal melanoma. Visual function tests evaluate the impact of the tumor on vision, aiding in planning treatment strategies that seek to preserve or restore visual acuity.

Localized treatments such as plaque brachytherapy or proton beam therapy for uveal melanoma focus on eradicating the tumor while sparing surrounding healthy tissue. Systemic chemotherapy is often used for retinoblastoma and certain advanced ocular cancers, aiming to reduce tumor size and prevent metastasis. Surgical interventions range from minimally invasive procedures for small tumors to enucleation for extensive malignancies, with reconstructive options discussed to improve post-operative outcomes. Targeted therapy and immunotherapy are emerging as valuable tools for certain ocular cancers, offering personalized treatment based on genetic markers. Regular follow-up and monitoring ensure early detection of recurrence or metastasis, with adjustments to therapy made as necessary to address evolving conditions.

Adhere strictly to your treatment schedule and follow-up appointments, crucial for monitoring the effectiveness of therapy and early detection of complications or recurrence. Report new symptoms or changes in vision immediately to your ocular oncologist, as these could indicate changes in your condition. Engage in protective measures for your eyes, as recommended, especially post-treatment, to support healing and reduce the risk of complications. Seek support from counseling and patient support groups to navigate the emotional and psychological challenges of cancer diagnosis and treatment. Stay informed about your condition and advancements in care, empowering you with knowledge to actively participate in your treatment decisions.

A detailed review of your medical and ocular history to understand the context of your symptoms and concerns. Thorough diagnostic evaluation using state-of-the-art imaging and examination techniques to characterize the ocular tumor and assess its impact. Personalized discussion of your diagnosis and treatment options, focusing on the specifics of your condition, potential outcomes, and what each treatment entails. Comprehensive care planning, incorporating input from a multidisciplinary team to address both the tumor and its broader effects on your health and vision. Clear instructions for post-diagnosis care and support, including how to manage side effects and protect your vision during and after treatment.

More in this specialty

Ophthalmology

General Ophthalmology

Cataract and Refractive Surgery

Glaucoma

Retina and Vitreous Diseases

Cornea and External Disease

Pediatric Ophthalmology and Strabismus

Neuro-Ophthalmology

Oculoplastic Surgery

Uveitis and Ocular Immunology

Ophthalmic Pathology

Vision Rehabilitation

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