Eye cancer is the term used to describe any cancer that starts in the eye. Healthy cells in or near
the eye undergo a change that causes them to proliferate out of control, resulting in a mass known
as a tumor. Other malignancies, however, affect other eye cell types.
Risk Factors & Prevention
Eye melanoma can develop at any age, but as people age, their risk increases. Men are slightly more
likely than women to have eye melanoma.
Some risk factors are:
Eyes with a light color
Several hereditary disorders, such as BAP1 cancer syndrome and dysplastic nevus syndrome
Moles
Overexposure to sunlight
Skin melanoma
Some professions, such as welders
How it can be prevented?
Restricting time spent in the sun
Donning protective clothing and headgear
Applying sunscreen
Putting on wraparound sunglasses with 99 to 100 percent UVA and UVB absorption to protect the eyes
and the skin surrounding them.
Screening
There are no generally accepted screening procedures for those at average risk for eye cancer because
it is a rare malignancy. However, certain eye tumours are detectable early by regular eye exams.
Symptoms & Signs
Difficulties with eyesight (Blurry or an abrupt loss of vision)
Floaters (specks or squiggles floating in the field of view)
Visually partially impaired (losing a portion of your visual field)
A developing dark patch on the eye’s coloured area (iris)
When the pupil’s size or shape is changing (the smudge or a dark spot in the middle of the
eye)
The eyeball’s location inside its socket shifts
The eye bulges
Observing light-flashes
Diagnosis
Eye cancer diagnostic tests determine whether you have the disease and how aggressive it may be.
Tools and tests include:
Fundoscopic Eye examination
Ultrasound
Fluorescein angiography
Fine needle biopsy
MRI orbit
PET-CT scan
Sub-Types and Stages
A. Intraocular cancers
a. Primary intraocular cancers
Retinoblastoma
Medulloepithelioma
b. Secondary intraocular cancers
Intraocular melanoma
Uveal melanomas
Conjunctival melanomas
Lymphomas
B. Orbital and adnexal cancers
Stages
The staging depends on the type of eye tumor. It has three
components: T: Tumor size N: No. of lymph nodes involved M: Spread to other organs / metastasis
Treatment Modalities
a. Surgical Oncology
The following surgical options:
Iridectomy- Partial iris removal.
Iridocyclectomy- Removing a portion of the iris and ciliary body.
Sclerouvectomy / endoresection- The procedure that removes the
choroidal tumor.
Enucleation- Eye removal surgery.
b. Medical Oncology
Chemotherapy- Chemotherapy kills cancer cells by using chemicals.
One chemotherapy medicine may be administered, or two or more drugs may be combined.
Immunotherapy- A medicinal therapy called immunotherapy supports
the immune system’s ability to fight cancer. If the cancer is advanced and other
treatments have failed, immunotherapy may be tried.
c. Laser therapy
When surgery or radiation is not an option, laser therapy may be used to treat eye melanoma.
The most popular laser therapy for eye melanoma is transpupillary thermotherapy (TTT).
Others are Photodynamic therapy and laser photocoagulation.
d. Radiation Oncology
Radiation therapy reduces the risk of losing the eye’s vision. Brachytherapy (Plaque
therapy) and external beam radiation therapy are two different types of radiation therapy
that can be used to treat eye malignancies.
Coping with Treatment
Along with the medical side effects of eye cancer therapy, patients also deal with the financial
burden of cancer care and the emotional and social impacts. Talking to a counselor, or family member
can help them to cope with treatment. MOC provides facility of psycho Onco-Counseling and
Nutritional counseling to help patients.
Do’s & Don’ts During Treatment
Do’s
Maintain proper hygiene
Protect the eye
Don’ts
Avoid engaging in any strenuous activities
Avoid gardening
Avoid contact with pet hair
Post-Treatment Support
Post-treatment eye cancer survivors can go through long-term side effects of surgery, radiation
therapy, chemotherapy. One of their primary worries with laser therapy is the possibility of eye
damage, which could lead to blindness. Survivors require empathy, mental strength, and support from
their families, they can also join eye cancer Post-Treatment Survivorship Support Groups.
Follow-ups Cancer Care Plan
Post-treatment one must request a follow-up treatment plan. Doctors provide a personalized treatment
plan based on the type and stage of cancer.
Surveillance and monitoring for Signs & Symptoms of
Recurrence
One aim of follow-up care is checking for a recurrence. One should never miss follow-up visits and
never ignore any symptoms of recurrence. Because some cancer cells may remain undiscovered in the
body in small locations that don’t respond to treatment, cancer can reoccur. A physician who
is knowledgeable about your medical history can provide you with personalized information regarding
your risk of recurrence during follow-up care.
FAQs
What exactly is eye cancer?
A relatively uncommon kind of cancer called eye cancer develops on or on the eye’s
surface, on the iris, or inside the eye behind the retina. Additionally, it may begin in the
skin surrounding the eyes (the eyelid).
How is eyelid cancer treated?
Surgery is the most popular form of treatment for eyelid cancer.
Treatment options for iris tumors?
These tumors are uncommon. Whether or not these tumors are growing or if they are causing any
complications will determine how they are treated.
Specialized Doctors at M | O | C
Dr. Vashistha Pankaj Maniar
M.D (Internal Medicine) D.M(Medical Oncology) ECMO (European Society Certification in Medical Oncology)
Speciality-
Medical and Pediatric Hemato-Oncologist.