Czerniak oka
Charakterystyka, pielęgnacja i opieka

Czerniak oka, najczęstszy pierwotny nowotwór gałki ocznej u dorosłych, rozwija się w melanocytach oka i występuje z częstością około 5-6 przypadków na milion rocznie. Wczesne wykrycie jest utrudnione ze względu na lokalizację guza i brak objawów początkowych. Objawy, takie jak męty, zmiany w tęczówce czy pogorszenie widzenia, pojawiają się zwykle w zaawansowanym stadium. Leczenie ma na celu minimalizację ryzyka przerzutów oraz zachowanie funkcji wzrokowej. Radioterapia, w tym brachyterapia płytkowa, radiochirurgia Gamma Knife oraz terapia protonowa, stanowi podstawę terapii małych i średnich guzów, oferując jednocześnie ochronę zdrowych tkanek. W przypadku większych guzów stosuje się chirurgiczne metody, takie jak częściowa resekcja lub enukleacja, z implantacją protezy po usunięciu gałki ocznej. Dodatkowe metody to laseroterapia, termoterapia, krioterapia i terapia fotodynamiczna. W zaawansowanych przypadkach stosuje się terapię celowaną, immunoterapię oraz chemioterapię, a od 2022 roku dostępny jest lek tebentafusp-tnb (KIMMTRAK) zatwierdzony przez FDA.

Wprowadzenie do czerniaka oka (Czerniak oka)

Czerniak oka, znany również jako czerniak naczyniówki, czerniak wewnątrzgałkowy lub czerniak gałki ocznej, jest najczęstszym pierwotnym nowotworem gałki ocznej u dorosłych. Rozwija się w komórkach produkujących melaninę – barwnik, który nadaje skórze kolor. Oczy również posiadają komórki produkujące melaninę, w których może rozwinąć się czerniak.12 Mimo że jest to najczęstszy nowotwór gałki ocznej u dorosłych, schorzenie to jest stosunkowo rzadkie – występuje u około 5-6 osób na milion rocznie w Stanach Zjednoczonych.3

Większość czerniaków oka rozwija się w częściach, których pacjent nie może zobaczyć, patrząc w lustro, co sprawia, że wczesne wykrycie jest trudne. Dodatkowo, czerniak oka zazwyczaj nie powoduje wczesnych objawów.4 Kiedy wystąpią objawy, mogą obejmować: wrażenie błysków lub plamek (męty) w polu widzenia, rosnącą ciemną plamę na tęczówce, zmianę kształtu źrenicy, pogorszenie ostrości widzenia w jednym oku oraz utratę widzenia obwodowego.5

Cele leczenia czerniaka oka

Główne cele leczenia czerniaka oka to zmniejszenie ryzyka rozprzestrzeniania się nowotworu oraz zachowanie zdrowia i widzenia oka, gdy tylko jest to możliwe.1 Wczesne wykrycie tego typu nowotworu jest kluczowe dla ochrony przed przerzutami.23 Cel leczenia czerniaka oka polega na wykryciu guza we wczesnym stadium, aby zminimalizować ryzyko przerzutów.4

Wybór leczenia powinien być dokonany wspólnie przez pacjenta i lekarza. Radioterapia i chirurgia wydają się być równie skuteczne. Radioterapia oferuje najlepszą szansę na zachowanie widzenia w oku, jednak niektórzy pacjenci, którzy przechodzą radioterapię, mogą ostatecznie potrzebować również zabiegu chirurgicznego.5

Opcje leczenia czerniaka oka

Obserwacja i monitorowanie

W przypadku małych czerniaków oka, które nie rosną, lekarz może zalecić strategię obserwacji i monitorowania zmian. Jeśli czerniak jest mały i nie rośnie, lekarz może zdecydować się na oczekiwanie i obserwację w kierunku oznak wzrostu. Jeśli czerniak rośnie lub powoduje powikłania, pacjent może zdecydować się na leczenie w tym momencie.1

Radioterapia

Radioterapia jest najczęstszym leczeniem czerniaków oka, które nie dały przerzutów.1 Jest to leczenie z wyboru dla małych do średnich czerniaków oka.2 Wykorzystuje wysokie dawki promieniowania do niszczenia komórek nowotworowych. Dostępne są różne metody radioterapii:

  • Brachyterapia płytkowa – najbardziej powszechna i skuteczna metoda leczenia czerniaka oka. Polega na umieszczeniu metalowego krążka (płytki) bezpośrednio pod czerniakiem na zewnętrznej białej części oka. Przez około 5 dni oko stopniowo absorbuje małe, bezpieczne dawki promieniowania z płytki, które celują i eliminują czerniaka.34
  • Radiochirurgia Gamma Knife – nieinwazyjna procedura, która kieruje skupione promienie gamma na obszar czerniaka, aby zniszczyć komórki nowotworowe.5
  • Terapia protonowa – uznawana za złoty standard opieki w przypadku czerniaka oka. Dostarcza silne dawki promieniowania do guza, oszczędzając otaczające zdrowe tkanki oka.67

Wadą radioterapii jest możliwość uszkodzenia nerwu wzrokowego i siatkówki, co potencjalnie może prowadzić do ślepoty w przyszłości.8

Chirurgia

Operacje stosowane w leczeniu czerniaka oka obejmują procedury usunięcia części oka lub całego oka. Rodzaj zabiegu zależy od wielkości i lokalizacji czerniaka oka:1

  • Usunięcie czerniaka i niewielkiego obszaru zdrowej tkanki – może być opcją dla małych czerniaków.2
  • Częściowa lamelarna sklerouweektomia (resekcja) – usunięcie części ściany oka wraz z guzem.34
  • Enukleacja (usunięcie całego oka) – często stosowana w przypadku dużych guzów oka. Może być również stosowana, jeśli guz powoduje ból oka.5 Enukleacja jest zarezerwowana dla bardzo dużych guzów, zwłaszcza tych, które rozprzestrzeniły się poza ścianę oka lub są zlokalizowane wokół nerwu wzrokowego.6

Po usunięciu oka z czerniakiem, implant jest wstawiany w to samo miejsce, a mięśnie kontrolujące ruch oka są przymocowane do implantu, co pozwala implantowi się poruszać. Po pewnym czasie gojenia, wykonywane jest sztuczne oko (proteza). Przednia powierzchnia nowego oka będzie malowana na zamówienie, aby dopasować ją do istniejącego oka.7

Laseroterapia i inne metody miejscowe

Dostępne są również inne metody leczenia czerniaka oka:

  • Laseroterapia (fotokoagulacja laserowa) – wykorzystuje laser na podczerwień do ogrzewania i niszczenia komórek nowotworowych.12
  • Termoterapia – zastosowanie ciepła do zniszczenia komórek nowotworowych.34
  • Krioterapia (kriopeksja) – procedura wykorzystująca skrajne zimno do leczenia małych guzów oka.5
  • Terapia fotodynamiczna – wykorzystuje substancje światłoczułe i światło do niszczenia komórek nowotworowych.6

Leczenie systemowe

W przypadku zaawansowanego czerniaka oka lub gdy istnieje ryzyko przerzutów, mogą być stosowane metody leczenia systemowego:

  • Terapia celowana – wykorzystuje leki atakujące specyficzne substancje chemiczne w komórkach nowotworowych.1
  • Immunoterapia – wykorzystuje leki stymulujące układ odpornościowy organizmu do rozpoznawania i atakowania komórek nowotworowych.23
  • Chemioterapia – stosowana w przypadku występowania przerzutów i może oferować pewną kontrolę nad chorobą.45

W styczniu 2022 roku Amerykańska Agencja ds. Żywności i Leków (FDA) zatwierdziła pierwszy w historii lek na czerniaka oka, tebentafusp-tnb (KIMMTRAK). To leczenie jest dostępne dla kwalifikujących się pacjentów.6

Opieka pielęgniarska w czerniaku oka

Rola specjalistycznej opieki pielęgniarskiej

Kliniczny specjalista pielęgniarstwa okulistycznego to wykwalifikowana pielęgniarka posiadająca specjalistyczną wiedzę na temat nowotworów oka. Organizuje opiekę między specjalistami oka a innymi pracownikami służby zdrowia. Pielęgniarka specjalistyczna pomaga również wspierać pacjenta podczas leczenia i upewnia się, że pacjent posiada potrzebne informacje.1

W procesie opieki nad pacjentem z czerniakiem oka, pielęgniarka nawigacyjna towarzyszy pacjentowi na każdym etapie, pomagając w planowaniu wizyt i rozwiązywaniu złożonych kwestii i pytań, które pojawiają się przy diagnozie czerniaka oka.2

Opieka wspierająca i paliatywna

Opieka wspierająca pomaga pacjentom sprostać fizycznym, praktycznym, emocjonalnym i duchowym wyzwaniom związanym z czerniakiem oka. Jest to ważna część opieki onkologicznej.1 Leczenie objawów czerniaka oka może być nazywane opieką paliatywną lub opieką wspierającą. Jest to ważna część opieki, niezależnie od tego, jakie leczenie pacjent otrzymuje. Często rozpoczyna się wkrótce po diagnozie i jest kontynuowana przez cały okres leczenia.2

W przypadku zaawansowanego nowotworu, leczenie może skupiać się na zarządzaniu objawami, takimi jak ból, oraz poprawie jakości życia bez próby wyleczenia choroby. Jest to nazywane leczeniem paliatywnym.3 Opieka paliatywna ma na celu poprawę jakości życia pacjenta i nie dotyczy tylko opieki pod koniec życia.4

Monitorowanie i obserwacja po leczeniu

Po zakończeniu leczenia czerniaka oka, pacjenci zazwyczaj wymagają regularnych kontroli. Zwykle odbywają się one co 6 miesięcy po leczeniu mającym na celu wyleczenie czerniaka oka. Ta praktyka kontynuowana jest przez 2 do 5 lat.1

Nawet jeśli czerniak jest wyleczony i występuje remisja w oku, konieczne jest całożyciowe monitorowanie systemowe pod kątem przerzutów, ponieważ przerzuty mogły wystąpić przed wykryciem nowotworu oka.23

Pacjenci z ryzykiem przerzutów są regularnie monitorowani pod kątem wczesnych oznak rozprzestrzeniania się nowotworu.4 Jeśli lekarz uważa, że istnieje ryzyko rozprzestrzenienia się czerniaka oka do innej części ciała, pacjent może mieć regularne badania ultrasonograficzne jamy brzusznej.5

Po leczeniu czerniaka oka, zespół medyczny zazwyczaj chce widzieć pacjenta dwa razy w roku na badania oka. Ważne są również okresowe badania obrazowe i badania krwi, aby sprawdzić, czy nie ma oznak choroby w reszcie organizmu.6

Wyzwania i wsparcie dla pacjentów

Wpływ na jakość życia i obraz ciała

Czerniak oka i jego leczenie mogą wpływać na samoocenę i obraz ciała pacjenta. Potrzeba czasu, aby przystosować się do zmiany wyglądu i nauczyć się radzić sobie z tymi zmianami.1

W przypadku utraty oka lub znacznego pogorszenia widzenia, zespół medyczny może zalecić noszenie ochronnych okularów, aby chronić funkcjonalne oko.2 Ważne jest również omówienie z lekarzem, jak posiadanie sztucznego oka może wpłynąć na prowadzenie pojazdu i inne codzienne czynności.3

Wsparcie psychologiczne i emocjonalne

Oprócz wsparcia oferowanego przez zespół leczący, specjalista od zdrowia psychicznego, taki jak pracownik socjalny lub doradca, może pomóc pacjentowi nauczyć się, jak radzić sobie i żyć z diagnozą czerniaka oka.4

Pacjent może uznać za pomocne rozmowę z kimś innym, kto miał podobne doświadczenia. Zespół medyczny może doradzić grupy wsparcia dostępne, aby pomóc pacjentowi radzić sobie z emocjami i codziennym życiem z sztucznym okiem.5

Wiele osób uważa regularne kontrole za dość niepokojące. Może pomóc poinformowanie kogoś bliskiego o swoich uczuciach. Wielu pacjentów uważa, że pomocne jest korzystanie z poradnictwa w trakcie lub po leczeniu nowotworu.6

Rola rodziny i bliskich

Ważne jest, aby pamiętać, że opieka nad chorym niesie ze sobą unikalne wyzwania. Usługi wsparcia obejmują również poradnictwo dla opiekunów.1 Wielu pacjentów uważa za pomocne zabieranie członka rodziny lub zaufanego przyjaciela na wizyty lub sesje leczenia. Ich obecność jest mile widziana, jeśli ułatwia proces opieki.2

Współpraca multidyscyplinarna w opiece nad pacjentem

Skład zespołu terapeutycznego

W zależności od leczenia, zespół terapeutyczny może składać się z różnych specjalistów ochrony zdrowia, takich jak:1

  • Lekarz rodzinny (lekarz pierwszego kontaktu)
  • Onkolog radioterapii
  • Onkolog medyczny
  • Pielęgniarka onkologiczna
  • Inni specjaliści ochrony zdrowia
  • Okulista

Najlepsza opieka w przypadku nowotworu oka wymaga współpracy między różnymi specjalistami od oka, w tym: patologami oka (specjalistami laboratoryjnymi, którzy koncentrują się na tkankach i komórkach oka), okulistami, chirurgami rekonstrukcyjnymi oka, chirurgami siatkówki.2

Komunikacja i decyzje terapeutyczne

Pacjenci z czerniakiem oka korzystają z wiedzy specjalistycznego zespołu. Współpracując ze sobą, onkolodzy okulistyczni, onkolodzy radioterapii, onkolodzy medyczni, patolodzy i neurolodzy tworzą skoordynowany, spersonalizowany plan leczenia.2

Zespół terapeutyczny docenia głos pacjenta w procesie opieki i zachęca do zadawania pytań i wyrażania obaw w dowolnym momencie.3 Przed rozpoczęciem jakiegokolwiek leczenia pacjent powinien upewnić się, że omówił i zrozumiał porady zespołu terapeutycznego. Można poprosić o drugą opinię, jeśli pacjent tego chce.4

Zadawanie lekarzowi tylu pytań, ile potrzeba, jest kluczowe. Wspólnie można zdecydować, które leczenie jest najlepsze dla pacjenta.5

Powikłania i skutki uboczne leczenia

Powikłania związane z czerniakiem oka

Powikłania czerniaka oka mogą obejmować:1

  • Wzrost ciśnienia wewnątrz oka (jaskra) – Rosnący czerniak oka może powodować jaskrę. Objawy jaskry mogą obejmować ból oka i zaczerwienienie, a także niewyraźne widzenie.
  • Utrata wzroku – Duże czerniaki oka często powodują utratę wzroku w dotkniętym oku i mogą powodować powikłania, takie jak odwarstwienie siatkówki, które również powoduje utratę wzroku.

Skutki uboczne leczenia

Obserwowane powikłania po leczeniu czerniaka oka mogą obejmować: zaćmę, odwarstwienie siatkówki, podwójne widzenie, jaskrę, retinopatię, neuropatię nerwu wzrokowego i martwicę twardówki.1

Pewien stopień utraty wzroku jest ryzykiem przy każdym rodzaju operacji.2 Leczenie dużych czerniaków oka zazwyczaj prowadzi do pewnej utraty wzroku.3

Badania kliniczne i nowe kierunki leczenia

Oprócz standardowych terapii, badania kliniczne oferują dodatkowe opcje. Badania kliniczne to badania badawcze testujące nowe terapie lub podejścia do leczenia określonej choroby. Pacjenci mogą przystąpić do badania klinicznego na dowolnym etapie leczenia nowotworu, nawet jeśli już rozpoczęli inny plan leczenia. Leki z badań klinicznych mogą być specyficzne dla określonych mutacji genowych lub dostosowane do stadium i lokalizacji nowotworu.1

Z większą liczbą badań klinicznych niż jakiekolwiek inne centrum onkologiczne w regionie, pacjenci mają dostęp do najbardziej zaawansowanych i innowacyjnych metod leczenia swojego specyficznego typu nowotworu oka.2

Kwalifikujący się pacjenci z czerniakiem oka, który z większym prawdopodobieństwem się rozprzestrzeni (przerzuty), mogą skorzystać z badania klinicznego zaawansowanych terapii celowanych.3

Liczba opcji leczenia dla czerniaka oka wysokiego ryzyka i z przerzutami szybko rośnie, a zespół onkologii okulistycznej będzie informował pacjentów o wszystkich dostępnych opcjach.4

Nowe biomarkery i diagnostyka

Nowe badania wskazują na obiecujące biomarkery w diagnozowaniu i monitorowaniu czerniaka oka. Krążące komórki hybrydowe (CHC) obecne we krwi pacjentów leczonych z powodu czerniaka oka dostarczają ważnych wskazówek na temat stadium choroby i przerzutów.1

Poziomy CHC mają potencjał jako biomarker prognostyczny. Obecnie dostępne są doskonałe molekularne testy prognostyczne oparte na tkance guza. Jednak niektóre guzy są trudne do biopsji, a pacjenci mogą unikać biopsji ze względu na ryzyko chirurgiczne. Biopsja samej tkanki guza może pominąć zmienność, która jest klinicznie ważna. Dodatkowo, po leczeniu guza pierwotnego, powtórzenie biopsji nie jest możliwe.2

W badaniu z 2022 roku wykazano, że pomiar poziomów CHC w momencie diagnozy może przewidzieć, u których pacjentów rozwinie się choroba przerzutowa. W przyszłości może istnieć nieinwazyjna metoda identyfikacji pacjentów, u których nastąpi progresja choroby, oraz stratyfikacja ryzyka dla badań klinicznych. Istniałaby również opcja ponownego testowania poziomów CHC w czasie, aby ocenić odpowiedzi na leczenie.3

Zalecenia dla praktyki pielęgniarskiej

Edukacja pacjenta i rodziny

Kluczowe aspekty edukacji pacjenta i rodziny w opiece nad czerniakiem oka obejmują:

  • Informowanie o konieczności regularnych badań oka, szczególnie jeśli w rodzinie występował czerniak oka lub pacjent ma inne czynniki ryzyka. Im wcześniej zostanie wykryty czerniak oka, tym lepsze wyniki leczenia.1
  • Zapewnienie pacjentowi i rodzinie zrozumienia stanu i opcji leczenia oraz opracowanie spersonalizowanego planu leczenia.2
  • Informowanie o potencjalnym wpływie leczenia na wzrok i jakość życia.3
  • Edukacja na temat znaków i objawów, które wymagają natychmiastowej konsultacji medycznej.4

Wsparcie w procesie adaptacji

Powrót do zdrowia po czerniaku oka i dostosowanie się do życia po leczeniu jest różne dla każdej osoby, w zależności od typu i stadium nowotworu, rodzaju leczenia i wielu innych czynników.1

Pielęgniarki onkologiczne pomagają pacjentom radzić sobie z emocjonalnymi i praktycznymi wyzwaniami związanymi z czerniakiem. Usługi wsparcia obejmują poradnictwo telefoniczne dla każdego dotkniętego nowotworem, a także specyficzną internetową grupę wsparcia dla pacjentów z czerniakiem.2

Oprócz partnerów klinicznych, pacjent ma do dyspozycji szereg specjalistów opieki wspierającej w zespole opiekuńczym, na których pacjent i jego rodzina mogą polegać. Pielęgniarki nawigacyjne, pracownicy socjalni, doradcy i inni robią wszystko, co w ich mocy, aby wspierać pacjenta przez całe doświadczenie związane z nowotworem.3

Koordynacja opieki i follow-up

Pielęgniarka onkologiczna organizuje opiekę między specjalistami od oka a innymi pracownikami służby zdrowia.1 Kieruje również pacjenta do odpowiednich specjalistów w zależności od potrzeb.

Po zakończeniu leczenia, pacjent będzie miał regularne wizyty kontrolne u swojego zespołu leczącego. Mogą one obejmować badania krwi lub badania fizykalne. Ważne jest, aby rozmawiać z zespołem leczącym o planie kontroli.2

Dla pacjentów z czerniakiem oka, który może dawać przerzuty, zaleca się dokładne monitorowanie, często przez wiele lat. Zespół medyczny opracowuje spersonalizowany plan monitorowania, aby śledzić stan zdrowia pacjenta w długim okresie.3

Należy kontaktować się z lekarzem lub pielęgniarką specjalistyczną w przypadku jakichkolwiek obaw między wizytami.4

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 11.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Eye Melanoma | Memorial Sloan Kettering Cancer Center
    https://www.mskcc.org/cancer-care/types/melanoma/types-melanoma/eye-melanoma
    David Abramson cares for people with eye melanoma. He also heads MSKs ophthalmic oncology team, the only one of its kind in the United States. […] Eye melanoma is also called uveal melanoma or ocular melanoma. It is a type of eye cancer. Its the most common eye cancer in adults. […] If you notice these symptoms, it is important to contact your doctor right away. The sooner your condition is treated, the better your chances for a cure. […] Memorial Sloan Kettering is a leading center for eye melanoma diagnosis and treatment. We take a multidisciplinary approach to care. People with eye melanoma benefit from the expertise of a team of experts. Working together, our ophthalmic oncologists, radiation oncologists, medical oncologists, pathologists, and neurologists create a coordinated, personalized treatment plan. […] Our ocular melanoma doctors are also leading researchers in the field. We may be able to offer new drug treatments through our program of melanoma clinical trials.
  • #1 Treating Eye Cancer | American Cancer Society
    https://www.cancer.org/cancer/types/eye-cancer/treating.html
    Most eye cancers are melanomas (also known as ocular melanomas or intraocular melanomas). […] The main goals for treating eye melanoma are to reduce the risk of the cancer spreading and to maintain the health and vision of the eye whenever possible. […] People who have advanced cancer and who are expected to live less than 6 months may want to consider hospice care. Nursing care and special equipment can make staying at home a workable option for many families.
  • #1 EYE MELANOMA and its treatment and nursing mangement .pptx
    https://www.slideshare.net/slideshow/eye-melanoma-and-its-treatment-and-nursing-mangement-pptx/269636539
    Complications of eye melanoma may include: Increasing pressure within the eye (glaucoma) – A growing eye melanoma may cause glaucoma. Signs and symptoms of glaucoma may include eye pain and redness, as well as blurry vision. Vision loss – Large eye melanomas often cause vision loss in the affected eye and can cause complications, such as retinal detachment, that also cause vision loss. […] Eye melanoma treatment options will depend on the location and size of the eye melanoma, as well as overall health and preferences. Waiting to treat small eye melanomas – A small eye melanoma may not require immediate treatment. If the melanoma is small and isn’t growing, doctor may choose to wait and watch for signs of growth. If the melanoma grows or causes complications, patient may choose to undergo treatment at that time.
  • #1 Treating Eye Cancer by Location and Size | American Cancer Society
    https://www.cancer.org/cancer/types/eye-cancer/treating/uveal-melanoma.html
    Radiation therapy is the most common treatment for eye melanomas that haven’t spread, although surgery or laser therapy might also be options in some situations. […] Managing symptoms of eye cancer may be called palliative care or supportive care. This is an important part of your care, regardless of which treatments you’re getting. It is often started soon after diagnosis and continued throughout treatment. Be sure to talk with your health care team about any symptoms you’re having, especially new or changing symptoms, so they can be treated. […] The choice of treatment should be made by both you and your doctor. Radiation and surgery appear to be about equally effective. Radiation offers the best chance of preserving vision in the eye, but some people who have radiation may eventually need surgery, too.
  • #1 EYE MELANOMA and its treatment and nursing mangement .pptx
    https://www.slideshare.net/slideshow/eye-melanoma-and-its-treatment-and-nursing-mangement-pptx/269636539
    Surgery Operations used to treat eye melanoma include procedures to remove part of the eye or a procedure to remove the entire eye. What procedure patient undergo depends on the size and location of eye melanoma. Options may include: Surgery to remove the melanoma and a small area of healthy tissue – Surgery to remove the melanoma and a band of healthy tissue that surrounds it may be an option for treating small melanomas. Surgery to remove the entire eye (enucleation) – Enucleation is often used for large eye tumors. It may also be used if the tumor is causing eye pain. […] After the eye with melanoma is removed, an implant is inserted into the same position, and the muscles controlling movement of the eye are attached to the implant, which allows the implant to move. After patient had some time to heal, an artificial eye (prosthesis) is made. The front surface of new eye will be custom painted to match your existing eye.
  • #1 Ocular (eye) melanoma cancer | Cancer Council
    https://www.cancer.org.au/cancer-information/types-of-cancer/rare-cancers/eye-ocular-melanoma
    This treatment uses an infrared laser to heat and destroy cancer cells. […] Immunotherapy uses drugs to stimulate your own immune system to recognise and attack cancer cells. […] In some cases of advanced cancer, treatment will focus on managing any symptoms, such as pain, and improving your quality of life without trying to cure the disease. This is called palliative treatment. […] Depending on your treatment, your treatment team may consist of a number of different health professionals, such as: GP (General Practitioner), Radiation oncologist, Medical oncologist, Cancer nurse, Other allied health professionals, Ophthalmologist. […] There is currently no national screening program for ocular melanoma available in Australia. […] While the causes of ocular melanoma are not known in most cases, protecting yourself from exposure to UV radiation can reduce your risk. […] However, your doctor may give you a prognosis, the likely outcome of your disease, based on the type of cancer you have, your test results, the rate of tumour growth, as well as your age, fitness and medical history.
  • #1 Eye melanoma | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/eye-melanoma
    Eye melanoma can be treated. Treatment for small eye melanomas may not cause vision problems. But treatment for large eye melanomas typically leads to some vision loss. […] Not all eye melanomas need treatment. When treatment is needed, it can include radiation therapy, laser therapy, photodynamic therapy or surgery. Targeted therapy and immunotherapy may be used to treat eye melanoma in some situations. […] Radiation therapy treats cancer with powerful energy. Radiation therapy is typically used for small to medium-sized eye melanomas. […] Surgery to treat eye melanoma may involve removing the melanoma or removing the entire eye. […] Targeted therapy for cancer is a treatment that uses medicines that attack specific chemicals in the cancer cells. […] Immunotherapy for cancer is a treatment with medicine that helps the body’s immune system kill cancer cells.
  • #1 Treatment Options For Eye Cancer | Cancer Research UK
    https://www.cancerresearchuk.org/about-cancer/eye-cancer/treatment/decisions
    An ophthalmology clinical nurse specialist is a qualified nurse who has specialist knowledge of cancers of the eye. They organise your care between the eye specialists and other health professionals. A specialist nurse will also help to support you through your treatment. They will make sure you have the information you need. […] Your treatment for eye cancer depends on: the type of eye cancer you have and where it is in the eye, the size of your cancer and how far it has grown or spread (the stage), your general health and level of fitness. […] If the cancer is large or already stopping you from seeing out of the eye, you will probably have surgery to remove the eye. This operation is called an enucleation. […] It may help to know that many people who have had this surgery rate their quality of life as highly as people who have kept their eye.
  • #1 Supportive care for eye cancer | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/eye/supportive-care
    Supportive care helps people meet the physical, practical, emotional and spiritual challenges of eye cancer. It is an important part of cancer care. […] Recovering from eye cancer and adjusting to life after treatment is different for each person, depending on the type and stage of the cancer, the type of treatment and many other factors. […] A person who has been treated for eye cancer may have the following concerns. […] Eye cancer and its treatments can affect a persons self-esteem and body image. […] It takes time to adjust to a change in how you look and to learn how to cope with these changes. […] You may find it helpful to speak with someone else who has had a similar experience. […] Talk to your healthcare team about the support groups available to help you cope with your emotions and daily life with an artificial eye.
  • #1 Follow up After Eye Cancer Treatment | Cancer Research UK
    https://www.cancerresearchuk.org/about-cancer/eye-cancer/treatment/follow-up
    You will have regular follow ups after treatment for eye cancer. […] You usually have follow up appointments every 6 months if you’ve had treatment to cure your eye melanoma. This continues for 2 to 5 years. […] Your follow up may be different if there is a high risk that your eye melanoma may spread to the liver. […] Your doctor or nurse examines your eye at each appointment. […] If your doctor thinks that there is a risk of your eye melanoma spreading to another part of your body, you may have regular ultrasound scans of your abdomen. […] Contact your doctor or specialist nurse if you have any concerns between appointments. […] Many people find their check ups quite worrying. […] It can help to tell someone close to you how you’re feeling. […] Many people find it helpful to have counselling during or after cancer treatment.
  • #1 Melanoma, Cancer, Information, Resources
    https://www.cancercare.org/diagnosis/melanoma
    CancerCare oncology social workers can help you cope with melanoma. […] Oncology social workers help you cope with the emotional and practical challenges of melanoma. […] CancerCare provides telephone counseling for anyone affected by cancer, and we also have a specific online melanoma patient support group. […] Please remember that caregiving brings its own unique challenges. Our services also include counseling for you as well. […] CancerCare can provide that help in many ways. Currently, we have an online group for people with melanoma. […] Ocular melanoma is the most common form of eye cancer in adults, and accounts for five percent of all melanomas. […] The Ocular Melanoma Foundation provides information and support resources. […] Finding a doctor who specializes in melanoma and skin cancers can significantly improve the recovery process and cancer survivorship. […] Speaking to an oncology social worker can help reduce the stress of adjusting to a diagnosis and assist with understanding treatment options, side effects, disclosure and finances/insurance issues. […] Please call our HopeLine (800-813-4673) or view our caregiving resources.
  • #1
    https://link.springer.com/article/10.1007/s12156-009-0002-y
    We describe the results of multimodal treatment of uveal and conjunctival melanomas. […] A careful consideration of treatment of uveal melanoma in this study allowed us to obtain the survival rates and visual outcomes similar to previously published results, with a very small incidence of complications. […] Observed complications were cataract, retinal detachment, diplopia, glaucoma, retinopathy, optic neuropathy and scleral necrosis.
  • #1 Melanoma in the Eye (Intraocular): Uveal and Conjunctival
    https://www.cancercenter.com/cancer-types/melanoma/types/intraocular-melanoma
    Melanoma in the eye starts when a cell in the eye turns cancerous. A melanoma is a cancer that starts in a specific type of pigmented cell called a melanocyte. […] Treatment options include surgery and clinical trials. […] Your multidisciplinary team will work with you to develop a personalized plan to treat your melanoma in a way that fits your individual needs and goals. […] The National Cancer Institute outlines five standard treatment approaches for intraocular melanoma. Each has specific side effects and risks, so patients should discuss each option with their care team. […] Surgery: This is the most common treatment plan. Surgery aims to remove the cancer. All of the following procedures are performed by skilled medical technicians. […] Besides the standard treatments, clinical trial therapies offer additional options. Clinical trials are research studies testing new therapies or approaches to treat a specific disease. Patients may enter a clinical trial during any stage of cancer treatment, even if they’ve already started a different treatment plan. Clinical trial medications may be specific to certain gene mutations or tailored to the cancer stage and location.
  • #1 New Clues to Metastasis of Ocular Melanoma | OHSU
    https://www.ohsu.edu/casey-eye-institute/new-clues-metastasis-ocular-melanoma
    Skalet is involved with the OHSU Knight Cancer Institutes melanoma program, and it was through a collaboration with colleague Melissa Wong, PhD, that she discovered circulating hybrid cells, or CHCs, present in the blood of patients treated for ocular melanoma. These cells provide important clues about disease stage and metastasis. […] CHC levels have promise as a prognostic biomarker. Currently, we have excellent molecular prognostic testing based on tumor tissue, Skalet explains. However, some tumors are difficult to biopsy and patients may choose to avoid biopsy due to surgical risk. Biopsy of tumor tissue alone may miss variability that is clinically important. In addition, once the primary tumor is treated, repeat biopsy is not possible. […] In the 2022 study, measuring levels of CHCs at the time of diagnosis was shown to predict which patients develop metastatic disease. In the future, we could have a non-invasive way of identifying which patients will have disease progression and doing risk stratification for clinical trials. We would also have the option to re-test CHC levels over time to assess treatment responses, Skalet says.
  • #1 Ocular Melanoma | Tufts Medicine
    https://www.tuftsmedicine.org/services-treatments/ophthalmology-new-england-eye-center/ocular-melanoma
    Ocular melanoma is a type of cancer that starts in the cells that produce pigment (color) in the eye. If left untreated, these cancerous cells can grow and spread to other parts of the body. […] Having a condition, like ocular melanoma, that threatens your eyesight can be scary. The good news is that ocular melanoma is treatable if we can detect it early. When you place your vision care in our hands, our team of specialists will work together toward a common goal—giving you the best treatment possible that puts your comfort and quality of life first. […] It’s important to schedule regular eye exams, especially if you have a family history of ocular melanoma or have other risk factors. The earlier we detect ocular melanoma, the better the treatment results. […] We’ll cover your condition from all angles and work alongside you to map a treatment path that’s uniquely you.
  • #2 EYE MELANOMA and its treatment and nursing mangement .pptx
    https://www.slideshare.net/slideshow/eye-melanoma-and-its-treatment-and-nursing-mangement-pptx/269636539
    Melanoma is a type of cancer that develops in the cells that produce melanin the pigment that gives skin its color. eyes also have melanin-producing cells and can develop melanoma. Eye melanoma is also called ocular melanoma. Most eye melanomas form in the part of the eye patient can’t see when looking in a mirror. This makes eye melanoma difficult to detect. In addition, eye melanoma typically doesn’t cause early signs or symptoms. Treatment is available for eye melanomas. Treatment for some small eye melanomas may not interfere with vision. However, treatment for large eye melanomas typically causes some vision loss. […] Eye melanoma may not cause signs and symptoms. When they do occur, signs and symptoms of eye melanoma can include: A sensation of flashes or specks of dust in vision (floaters) A growing dark spot on the iris A change in the shape of the dark circle (pupil) at the center of eye Poor or blurry vision in one eye Loss of peripheral vision.
  • #2 Uveal Melanoma | Wills Eye Hospital
    https://www.willseye.org/uveal-melanoma/
    Uveal melanoma is the leading, primary eye cancer in adults. […] Early treatment of this eye cancer is important to protect from metastasis. […] The goal of melanoma management is to detect the tumor early so that metastasis is minimized. […] There are several treatment methods available for melanoma including: Enucleation, Plaque radiotherapy, Partial lamellar sclerouvectomy (resection), Laser photocoagulation, Thermotherapy. […] On the Oncology Service, combination treatment for melanoma with plaque radiotherapy followed by TTT provides excellent control in 98% of patients. […] Even though the melanoma is cured and in remission in the eye, life-long systemic monitoring for metastasis is necessary, as metastasis could have occurred before the eye cancer was discovered. […] Chemotherapy and immunotherapy regimens (using melanoma vaccine) are used if there is metastasis and they can offer some control.
  • #2 Eye melanoma | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/eye-melanoma
    Eye melanoma can be treated. Treatment for small eye melanomas may not cause vision problems. But treatment for large eye melanomas typically leads to some vision loss. […] Not all eye melanomas need treatment. When treatment is needed, it can include radiation therapy, laser therapy, photodynamic therapy or surgery. Targeted therapy and immunotherapy may be used to treat eye melanoma in some situations. […] Radiation therapy treats cancer with powerful energy. Radiation therapy is typically used for small to medium-sized eye melanomas. […] Surgery to treat eye melanoma may involve removing the melanoma or removing the entire eye. […] Targeted therapy for cancer is a treatment that uses medicines that attack specific chemicals in the cancer cells. […] Immunotherapy for cancer is a treatment with medicine that helps the body’s immune system kill cancer cells.
  • #2 EYE MELANOMA and its treatment and nursing mangement .pptx
    https://www.slideshare.net/slideshow/eye-melanoma-and-its-treatment-and-nursing-mangement-pptx/269636539
    Surgery Operations used to treat eye melanoma include procedures to remove part of the eye or a procedure to remove the entire eye. What procedure patient undergo depends on the size and location of eye melanoma. Options may include: Surgery to remove the melanoma and a small area of healthy tissue – Surgery to remove the melanoma and a band of healthy tissue that surrounds it may be an option for treating small melanomas. Surgery to remove the entire eye (enucleation) – Enucleation is often used for large eye tumors. It may also be used if the tumor is causing eye pain. […] After the eye with melanoma is removed, an implant is inserted into the same position, and the muscles controlling movement of the eye are attached to the implant, which allows the implant to move. After patient had some time to heal, an artificial eye (prosthesis) is made. The front surface of new eye will be custom painted to match your existing eye.
  • #2 Ocular (eye) melanoma cancer | Cancer Council
    https://www.cancer.org.au/cancer-information/types-of-cancer/rare-cancers/eye-ocular-melanoma
    This treatment uses an infrared laser to heat and destroy cancer cells. […] Immunotherapy uses drugs to stimulate your own immune system to recognise and attack cancer cells. […] In some cases of advanced cancer, treatment will focus on managing any symptoms, such as pain, and improving your quality of life without trying to cure the disease. This is called palliative treatment. […] Depending on your treatment, your treatment team may consist of a number of different health professionals, such as: GP (General Practitioner), Radiation oncologist, Medical oncologist, Cancer nurse, Other allied health professionals, Ophthalmologist. […] There is currently no national screening program for ocular melanoma available in Australia. […] While the causes of ocular melanoma are not known in most cases, protecting yourself from exposure to UV radiation can reduce your risk. […] However, your doctor may give you a prognosis, the likely outcome of your disease, based on the type of cancer you have, your test results, the rate of tumour growth, as well as your age, fitness and medical history.
  • #2 Eye Cancer | Ochsner Health
    https://www.ochsner.org/services/eye-cancer/
    Ochsner eye cancer experts develop a customized treatment plan based on your type of eye cancer and unique medical history and needs. […] We match you with a nurse navigator who can help guide you in your journey and connect you with the support services you need along the way. […] A nurse navigator will be with you at every step to help you schedule appointments and address the complexities and questions that come with a eye cancer diagnosis.
  • #2 Treating Eye Cancer by Location and Size | American Cancer Society
    https://www.cancer.org/cancer/types/eye-cancer/treating/uveal-melanoma.html
    Radiation therapy is the most common treatment for eye melanomas that haven’t spread, although surgery or laser therapy might also be options in some situations. […] Managing symptoms of eye cancer may be called palliative care or supportive care. This is an important part of your care, regardless of which treatments you’re getting. It is often started soon after diagnosis and continued throughout treatment. Be sure to talk with your health care team about any symptoms you’re having, especially new or changing symptoms, so they can be treated. […] The choice of treatment should be made by both you and your doctor. Radiation and surgery appear to be about equally effective. Radiation offers the best chance of preserving vision in the eye, but some people who have radiation may eventually need surgery, too.
  • #2 Supportive care for eye cancer | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/eye/supportive-care
    Your healthcare team may recommend that you wear protective eyewear to help protect your functional eye. […] Talk to your doctor about how having an artificial eye may affect driving and other daily activities. […] In addition to the support offered by the treatment team, a mental health professional, such as a social worker or counsellor, can help you learn how to cope and live with a diagnosis of eye cancer.
  • #2 Ocular Melanoma | Mays Cancer Center
    https://cancer.uthscsa.edu/cancer-care/types-and-treatments/ocular-melanoma
    We value your voice in the care process, and we encourage you to ask questions and concerns at any point. […] Many patients find it helpful to bring a family member or trusted friend to appointments or treatment sessions. We welcome their presence if it helps make the care process easier for you. […] Some types of ocular melanoma are aggressive. They may spread beyond the eye, to the lymph nodes or organs such as the liver. […] You should have any unusual changes in your vision evaluated by a trained medical professional. […] Our experienced ophthalmologists diagnose ocular melanoma by performing a comprehensive eye exam. […] A tumors size and thickness help our doctors determine the right treatment approach for your circumstances. […] Treatment for larger (or thicker) cancers may involve surgery or radiation therapy.
  • #2 Eye and Vision-Related Cancer | Cancer
    https://health.ucdavis.edu/conditions/eye-and-vision-related-cancer
    Our eye cancer team offers comprehensive treatment options designed to save your vision and improve your quality of life. […] Our eye cancer specialists work with you to identify, diagnose and treat eye and vision-related cancers. […] Physicians treat uveal melanoma with eye radiation or surgery to minimize the risk of growth and metastasis (spread) of the cancer. […] With early care, physicians can successfully treat these eye cancers. Treatments may involve eye laser or surgery and chemotherapy, depending on severity of the cancer. […] The best eye cancer care involves collaboration among many kinds of eye specialists, including: Eye pathologists (lab specialists who focus on eye tissues and cells), Ophthalmologists, Reconstructive eye surgeons, Retinal surgeons. […] Our goal is to preserve your eye and vision. But surgery to remove your eye may be needed in advanced cases. If we remove your eye, we make you a prosthesis to help you look as natural as possible.
  • #2 Eye Melanoma | Memorial Sloan Kettering Cancer Center
    https://www.mskcc.org/cancer-care/types/melanoma/types-melanoma/eye-melanoma
    David Abramson cares for people with eye melanoma. He also heads MSKs ophthalmic oncology team, the only one of its kind in the United States. […] Eye melanoma is also called uveal melanoma or ocular melanoma. It is a type of eye cancer. Its the most common eye cancer in adults. […] If you notice these symptoms, it is important to contact your doctor right away. The sooner your condition is treated, the better your chances for a cure. […] Memorial Sloan Kettering is a leading center for eye melanoma diagnosis and treatment. We take a multidisciplinary approach to care. People with eye melanoma benefit from the expertise of a team of experts. Working together, our ophthalmic oncologists, radiation oncologists, medical oncologists, pathologists, and neurologists create a coordinated, personalized treatment plan. […] Our ocular melanoma doctors are also leading researchers in the field. We may be able to offer new drug treatments through our program of melanoma clinical trials.
  • #2 Intraocular Melanoma: Treatment, Symptoms & Definition
    https://my.clevelandclinic.org/health/diseases/6134-intraocular-melanoma
    Intraocular melanoma is the most common type of eye cancer in adults. Treatments include surgery and radiation therapy. […] If you do need treatment, the most common treatments are radiation therapy or surgery. […] Some degree of vision loss is a risk with each type of surgery. […] Radiation therapy uses powerful doses of radiation to destroy tumors. […] The most common treatments are radiation therapy and surgery. […] Stay in communication with your healthcare provider and monitor the intraocular melanoma closely.
  • #2
    https://winshipcancer.emory.edu/cancer-types-and-treatments/ocular-melanoma/
    With more clinical trials than any other cancer center in the state, youll have access to the most advanced and innovative treatments for your specific type of eye cancer. […] In addition to your clinical partners, at Winship youll have an array of supportive care specialists on your care team for you and your family to lean on. Our nurse navigators, social workers, counselors and more do everything in their power to support you throughout your cancer experience. […] Our promise is to provide you with support, exceptional care and an individualized plan utilizing the most advanced treatment possible, and even a second opinion. We’ll be with you and your caregiver every step of the way from diagnosis to treatment and long after.
  • #2 New Clues to Metastasis of Ocular Melanoma | OHSU
    https://www.ohsu.edu/casey-eye-institute/new-clues-metastasis-ocular-melanoma
    Skalet is involved with the OHSU Knight Cancer Institutes melanoma program, and it was through a collaboration with colleague Melissa Wong, PhD, that she discovered circulating hybrid cells, or CHCs, present in the blood of patients treated for ocular melanoma. These cells provide important clues about disease stage and metastasis. […] CHC levels have promise as a prognostic biomarker. Currently, we have excellent molecular prognostic testing based on tumor tissue, Skalet explains. However, some tumors are difficult to biopsy and patients may choose to avoid biopsy due to surgical risk. Biopsy of tumor tissue alone may miss variability that is clinically important. In addition, once the primary tumor is treated, repeat biopsy is not possible. […] In the 2022 study, measuring levels of CHCs at the time of diagnosis was shown to predict which patients develop metastatic disease. In the future, we could have a non-invasive way of identifying which patients will have disease progression and doing risk stratification for clinical trials. We would also have the option to re-test CHC levels over time to assess treatment responses, Skalet says.
  • #2 Ocular (Eye) Melanoma Treatment | Memorial Sloan Kettering Cancer Center | Memorial Sloan Kettering Cancer Center
    https://www.mskcc.org/cancer-care/types/melanoma/treatment/ocular-melanoma
    David Abramson cares for patients with melanoma of the eye. […] Many people come to us for care after an ophthalmologist conducting a routine eye examination detects suspicious changes in one of their eyes. […] At MSK, we see more than 200 cases of benign eye lesions (choroidal nevi) each year and treat approximately 60 people with new eye melanomas (also called ocular melanoma) each year. […] Well help you understand your condition and treatment options and design a personalized treatment plan for you. […] Our experts have decades of experience using brachytherapy for eye melanoma, and we treat many people with this approach. […] Depending on the size, location, and stage of the tumor, we may recommend that you have an operation to remove the eye. […] If the tumor is small, we may be able to treat it effectively with laser therapy. […] After your treatment for eye melanoma, we usually like to see you twice a year for eye examinations. […] We also find its important to have periodic scans and blood tests to check for signs of disease in the rest of your body just to be extra careful.
  • #2 Melanoma, Cancer, Information, Resources
    https://www.cancercare.org/diagnosis/melanoma
    CancerCare oncology social workers can help you cope with melanoma. […] Oncology social workers help you cope with the emotional and practical challenges of melanoma. […] CancerCare provides telephone counseling for anyone affected by cancer, and we also have a specific online melanoma patient support group. […] Please remember that caregiving brings its own unique challenges. Our services also include counseling for you as well. […] CancerCare can provide that help in many ways. Currently, we have an online group for people with melanoma. […] Ocular melanoma is the most common form of eye cancer in adults, and accounts for five percent of all melanomas. […] The Ocular Melanoma Foundation provides information and support resources. […] Finding a doctor who specializes in melanoma and skin cancers can significantly improve the recovery process and cancer survivorship. […] Speaking to an oncology social worker can help reduce the stress of adjusting to a diagnosis and assist with understanding treatment options, side effects, disclosure and finances/insurance issues. […] Please call our HopeLine (800-813-4673) or view our caregiving resources.
  • #2 Cancer Society NZ — Treatment of eye melanoma
    https://www.cancer.org.nz/cancer/types-of-cancer/eye-melanoma/treatment-of-eye-melanoma/
    The treatment offered will depend on the type and stage of eye melanoma, as well as your general health and eyesight. […] Before any treatment begins, make sure that you have discussed and understood your treatment team’s advice. You may ask for a second opinion if you want one. […] Any type of surgery can be frightening. […] Palliative care aims to improve your quality of life. It is not just about end of life care. […] Speak with your treatment team about palliative care options for you and your family/whānau. […] It is important to talk to your treatment team about any other therapies you’re using or thinking about because they may interfere with hospital treatment. […] You will need regular check-ups with your treatment team. These may include some blood tests or physical examinations. Speak with your treatment team about the plan for you.
  • #3 New Clues to Metastasis of Ocular Melanoma | OHSU
    https://www.ohsu.edu/casey-eye-institute/new-clues-metastasis-ocular-melanoma
    Ocular melanoma is a relatively rare cancer, with just 5 or 6 cases per million people per year in the United States. But in adults, it is the most common primary eye tumor, and it is aggressive. By the time many patients are evaluated, micrometastasis has already occurred. This means that despite successful treatment of the tumor in the eye, patients die from distant spread of their disease. […] Unfortunately, only a few years later, the patient died. Now, Skalet and colleagues at the OHSU Knight Cancer Institute have published research that could have allowed them to noninvasively predict whether the patients tumor would metastasize, enabling them to make important choices about treatment and quality of life. […] While ocular melanoma is treatable, there is currently no way to detect micrometastases. Current surveillance is via imaging of the lungs and liver with MRI, CT or ultrasound. This can go on for years, Skalet says. The uncertainty is difficult to live with. Patients must adjust to the knowledge that they could face advanced cancer at any time.
  • #3 MELANOMA: THE RETINA INSTITUTE BOARD CERTIFIED RETINAL MICRO-SURGICAL EYE CARE
    https://theretinainstitute.org/melanoma-1
    Melanoma carries a risk for spread (metastasis) to the liver, lung, and skin, so lifelong systemic monitoring is advised. […] Early treatment of this eye cancer is important to protect from metastasis. […] The goal of melanoma management is to detect the tumor early so that metastasis is minimized. […] There are several treatment methods available for melanoma including enucleation, plaque radiotherapy, partial lamellar sclerouvectomy (resection), laser photocoagulation and thermotherapy. […] Enucleation is reserved for very large tumors, especially those that have extended outside the wall of the eye or are located around the optic nerve. […] Even though the melanoma is cured and in remission in the eye, life-long systemic monitoring for metastasis is necessary, as metastasis could have occurred before the eye cancer was discovered. […] Chemotherapy and immunotherapy regimens (using melanoma vaccine) are used if there is metastasis and they can offer some control.
  • #3 Ocular Melanoma | Tufts Medicine
    https://www.tuftsmedicine.org/services-treatments/ophthalmology-new-england-eye-center/ocular-melanoma
    This is the most common and effective method for treating ocular melanoma. Plaque brachytherapy is a surgical procedure where we implant a custom-made metal disc, or plaque, directly beneath the melanoma on the outside white of your eye. […] Over the course of 5 days or so, your eye will gradually absorb small, safe amounts of radiation from the plaque that targets and eliminates the melanoma. […] This non-invasive procedure directs highly focused gamma rays to the melanoma area to destroy the cancerous cells. We’ll have you home and recovering from your Gamma Knife radiosurgery the same day. […] Enucleation is the surgical removal of the eyeball. Opting for enucleation is a decision we don’t take lightly. It’s a choice we make when other treatments aren’t effective or when there’s no useful vision in the eye.
  • #3 Uveal Melanoma | Wills Eye Hospital
    https://www.willseye.org/uveal-melanoma/
    Uveal melanoma is the leading, primary eye cancer in adults. […] Early treatment of this eye cancer is important to protect from metastasis. […] The goal of melanoma management is to detect the tumor early so that metastasis is minimized. […] There are several treatment methods available for melanoma including: Enucleation, Plaque radiotherapy, Partial lamellar sclerouvectomy (resection), Laser photocoagulation, Thermotherapy. […] On the Oncology Service, combination treatment for melanoma with plaque radiotherapy followed by TTT provides excellent control in 98% of patients. […] Even though the melanoma is cured and in remission in the eye, life-long systemic monitoring for metastasis is necessary, as metastasis could have occurred before the eye cancer was discovered. […] Chemotherapy and immunotherapy regimens (using melanoma vaccine) are used if there is metastasis and they can offer some control.
  • #3 Eye melanoma | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/eye-melanoma
    Eye melanoma can be treated. Treatment for small eye melanomas may not cause vision problems. But treatment for large eye melanomas typically leads to some vision loss. […] Not all eye melanomas need treatment. When treatment is needed, it can include radiation therapy, laser therapy, photodynamic therapy or surgery. Targeted therapy and immunotherapy may be used to treat eye melanoma in some situations. […] Radiation therapy treats cancer with powerful energy. Radiation therapy is typically used for small to medium-sized eye melanomas. […] Surgery to treat eye melanoma may involve removing the melanoma or removing the entire eye. […] Targeted therapy for cancer is a treatment that uses medicines that attack specific chemicals in the cancer cells. […] Immunotherapy for cancer is a treatment with medicine that helps the body’s immune system kill cancer cells.
  • #3 Ocular (eye) melanoma cancer | Cancer Council
    https://www.cancer.org.au/cancer-information/types-of-cancer/rare-cancers/eye-ocular-melanoma
    This treatment uses an infrared laser to heat and destroy cancer cells. […] Immunotherapy uses drugs to stimulate your own immune system to recognise and attack cancer cells. […] In some cases of advanced cancer, treatment will focus on managing any symptoms, such as pain, and improving your quality of life without trying to cure the disease. This is called palliative treatment. […] Depending on your treatment, your treatment team may consist of a number of different health professionals, such as: GP (General Practitioner), Radiation oncologist, Medical oncologist, Cancer nurse, Other allied health professionals, Ophthalmologist. […] There is currently no national screening program for ocular melanoma available in Australia. […] While the causes of ocular melanoma are not known in most cases, protecting yourself from exposure to UV radiation can reduce your risk. […] However, your doctor may give you a prognosis, the likely outcome of your disease, based on the type of cancer you have, your test results, the rate of tumour growth, as well as your age, fitness and medical history.
  • #3 Supportive care for eye cancer | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/eye/supportive-care
    Your healthcare team may recommend that you wear protective eyewear to help protect your functional eye. […] Talk to your doctor about how having an artificial eye may affect driving and other daily activities. […] In addition to the support offered by the treatment team, a mental health professional, such as a social worker or counsellor, can help you learn how to cope and live with a diagnosis of eye cancer.
  • #3 Ocular Melanoma | Mays Cancer Center
    https://cancer.uthscsa.edu/cancer-care/types-and-treatments/ocular-melanoma
    We value your voice in the care process, and we encourage you to ask questions and concerns at any point. […] Many patients find it helpful to bring a family member or trusted friend to appointments or treatment sessions. We welcome their presence if it helps make the care process easier for you. […] Some types of ocular melanoma are aggressive. They may spread beyond the eye, to the lymph nodes or organs such as the liver. […] You should have any unusual changes in your vision evaluated by a trained medical professional. […] Our experienced ophthalmologists diagnose ocular melanoma by performing a comprehensive eye exam. […] A tumors size and thickness help our doctors determine the right treatment approach for your circumstances. […] Treatment for larger (or thicker) cancers may involve surgery or radiation therapy.
  • #3 Ocular Melanoma | Mays Cancer Center
    https://cancer.uthscsa.edu/cancer-care/types-and-treatments/ocular-melanoma
    We offer specialized radiation treatment called iodine-125 brachytherapy. […] Genomic profiling test results can help us plan the most appropriate treatments for you. […] Some types of ocular melanoma are more likely to resurface after successful treatment. We monitor you closely in the years after your treatment ends. This regular follow-up helps us detect a possible recurrence during its early stages. […] Clinical trials offer eligible patients access to some of today’s leading cancer treatments close to home. […] Eligible patients with ocular melanoma that is more likely to spread (metastasize) may benefit from a clinical trial of advanced targeted therapies.
  • #3 New Clues to Metastasis of Ocular Melanoma | OHSU
    https://www.ohsu.edu/casey-eye-institute/new-clues-metastasis-ocular-melanoma
    Skalet is involved with the OHSU Knight Cancer Institutes melanoma program, and it was through a collaboration with colleague Melissa Wong, PhD, that she discovered circulating hybrid cells, or CHCs, present in the blood of patients treated for ocular melanoma. These cells provide important clues about disease stage and metastasis. […] CHC levels have promise as a prognostic biomarker. Currently, we have excellent molecular prognostic testing based on tumor tissue, Skalet explains. However, some tumors are difficult to biopsy and patients may choose to avoid biopsy due to surgical risk. Biopsy of tumor tissue alone may miss variability that is clinically important. In addition, once the primary tumor is treated, repeat biopsy is not possible. […] In the 2022 study, measuring levels of CHCs at the time of diagnosis was shown to predict which patients develop metastatic disease. In the future, we could have a non-invasive way of identifying which patients will have disease progression and doing risk stratification for clinical trials. We would also have the option to re-test CHC levels over time to assess treatment responses, Skalet says.
  • #3 Ocular Melanoma | Mays Cancer Center
    https://cancer.uthscsa.edu/cancer-care/types-and-treatments/ocular-melanoma
    Ocular melanoma, also called uveal melanoma, is the most common type of cancer to develop inside the eye. […] Ophthalmologists and other specialists coordinate your care. […] Our fellowship-trained surgeons are experienced in intricate cancer removal and reconstructive procedures. They treat cancer while protecting healthy eye tissues whenever possible. […] Ocular melanoma treatment has the potential to damage your vision permanently. Your doctor will gauge the risk this cancer poses to your health before recommending whether and how to treat it. […] A personalized follow-up plan helps us monitor your health long-term. […] We will explain how ocular melanoma or cancer treatment could affect your health or eyesight. Our team is here to support you in making care decisions that are right for you.
  • #3
    https://winshipcancer.emory.edu/cancer-types-and-treatments/ocular-melanoma/
    With more clinical trials than any other cancer center in the state, youll have access to the most advanced and innovative treatments for your specific type of eye cancer. […] In addition to your clinical partners, at Winship youll have an array of supportive care specialists on your care team for you and your family to lean on. Our nurse navigators, social workers, counselors and more do everything in their power to support you throughout your cancer experience. […] Our promise is to provide you with support, exceptional care and an individualized plan utilizing the most advanced treatment possible, and even a second opinion. We’ll be with you and your caregiver every step of the way from diagnosis to treatment and long after.
  • #4 EYE MELANOMA and its treatment and nursing mangement .pptx
    https://www.slideshare.net/slideshow/eye-melanoma-and-its-treatment-and-nursing-mangement-pptx/269636539
    Melanoma is a type of cancer that develops in the cells that produce melanin the pigment that gives skin its color. eyes also have melanin-producing cells and can develop melanoma. Eye melanoma is also called ocular melanoma. Most eye melanomas form in the part of the eye patient can’t see when looking in a mirror. This makes eye melanoma difficult to detect. In addition, eye melanoma typically doesn’t cause early signs or symptoms. Treatment is available for eye melanomas. Treatment for some small eye melanomas may not interfere with vision. However, treatment for large eye melanomas typically causes some vision loss. […] Eye melanoma may not cause signs and symptoms. When they do occur, signs and symptoms of eye melanoma can include: A sensation of flashes or specks of dust in vision (floaters) A growing dark spot on the iris A change in the shape of the dark circle (pupil) at the center of eye Poor or blurry vision in one eye Loss of peripheral vision.
  • #4 Uveal Melanoma | Wills Eye Hospital
    https://www.willseye.org/uveal-melanoma/
    Uveal melanoma is the leading, primary eye cancer in adults. […] Early treatment of this eye cancer is important to protect from metastasis. […] The goal of melanoma management is to detect the tumor early so that metastasis is minimized. […] There are several treatment methods available for melanoma including: Enucleation, Plaque radiotherapy, Partial lamellar sclerouvectomy (resection), Laser photocoagulation, Thermotherapy. […] On the Oncology Service, combination treatment for melanoma with plaque radiotherapy followed by TTT provides excellent control in 98% of patients. […] Even though the melanoma is cured and in remission in the eye, life-long systemic monitoring for metastasis is necessary, as metastasis could have occurred before the eye cancer was discovered. […] Chemotherapy and immunotherapy regimens (using melanoma vaccine) are used if there is metastasis and they can offer some control.
  • #4 Early detection of rare eye cancer is important | UCLA Health
    https://www.uclahealth.org/news/article/early-detection-of-rare-eye-cancer-is-important
    Ocular melanoma is a tumor that arises in the pigmented cells under the retina of the eye. When detected early, the cancer is treatable and a persons prognosis for vision and survival remains good. […] Radiation is the best way to treat eye cancer. At UCLA, we stitch a gold plaque to the outside of the eye, and remove the plaque seven days later. The plaque contains tiny radioactive seeds that kill the cancer cells. […] Once the plaque is removed, the patient is considered radiation-free and may return to normal activities. […] The downside to radiation is that it can injure the optic nerve and retina, potentially leading to future blindness. […] At UCLA, we treat ocular melanoma in an entirely novel way, by including vision-saving strategies in our approach to destroying the cancer.
  • #4 MELANOMA: THE RETINA INSTITUTE BOARD CERTIFIED RETINAL MICRO-SURGICAL EYE CARE
    https://theretinainstitute.org/melanoma-1
    Melanoma carries a risk for spread (metastasis) to the liver, lung, and skin, so lifelong systemic monitoring is advised. […] Early treatment of this eye cancer is important to protect from metastasis. […] The goal of melanoma management is to detect the tumor early so that metastasis is minimized. […] There are several treatment methods available for melanoma including enucleation, plaque radiotherapy, partial lamellar sclerouvectomy (resection), laser photocoagulation and thermotherapy. […] Enucleation is reserved for very large tumors, especially those that have extended outside the wall of the eye or are located around the optic nerve. […] Even though the melanoma is cured and in remission in the eye, life-long systemic monitoring for metastasis is necessary, as metastasis could have occurred before the eye cancer was discovered. […] Chemotherapy and immunotherapy regimens (using melanoma vaccine) are used if there is metastasis and they can offer some control.
  • #4 Cancer Society NZ — Treatment of eye melanoma
    https://www.cancer.org.nz/cancer/types-of-cancer/eye-melanoma/treatment-of-eye-melanoma/
    The treatment offered will depend on the type and stage of eye melanoma, as well as your general health and eyesight. […] Before any treatment begins, make sure that you have discussed and understood your treatment team’s advice. You may ask for a second opinion if you want one. […] Any type of surgery can be frightening. […] Palliative care aims to improve your quality of life. It is not just about end of life care. […] Speak with your treatment team about palliative care options for you and your family/whānau. […] It is important to talk to your treatment team about any other therapies you’re using or thinking about because they may interfere with hospital treatment. […] You will need regular check-ups with your treatment team. These may include some blood tests or physical examinations. Speak with your treatment team about the plan for you.
  • #4 Uveal Melanoma: Treating Rare Eye Cancer | Cancer | Eyes and Vision | UT Southwestern Medical Center
    https://utswmed.org/medblog/uveal-melanoma-treatment/
    Patients at risk of metastasis are monitored regularly for early signs that cancer may have spread. […] Uveal melanoma is a rare, malignant eye cancer requiring a comprehensive team-based approach including ocular oncologists, medical oncologists, radiation oncologists, and others to provide the best possible care. The number of treatment options for high-risk and metastatic uveal melanoma is rapidly increasing, and the UT Southwestern Ocular Oncology Team will keep patients up to date on all of their options.
  • #4 Supportive care for eye cancer | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/eye/supportive-care
    Your healthcare team may recommend that you wear protective eyewear to help protect your functional eye. […] Talk to your doctor about how having an artificial eye may affect driving and other daily activities. […] In addition to the support offered by the treatment team, a mental health professional, such as a social worker or counsellor, can help you learn how to cope and live with a diagnosis of eye cancer.
  • #4 Follow up After Eye Cancer Treatment | Cancer Research UK
    https://www.cancerresearchuk.org/about-cancer/eye-cancer/treatment/follow-up
    You will have regular follow ups after treatment for eye cancer. […] You usually have follow up appointments every 6 months if you’ve had treatment to cure your eye melanoma. This continues for 2 to 5 years. […] Your follow up may be different if there is a high risk that your eye melanoma may spread to the liver. […] Your doctor or nurse examines your eye at each appointment. […] If your doctor thinks that there is a risk of your eye melanoma spreading to another part of your body, you may have regular ultrasound scans of your abdomen. […] Contact your doctor or specialist nurse if you have any concerns between appointments. […] Many people find their check ups quite worrying. […] It can help to tell someone close to you how you’re feeling. […] Many people find it helpful to have counselling during or after cancer treatment.
  • #5 EYE MELANOMA and its treatment and nursing mangement .pptx
    https://www.slideshare.net/slideshow/eye-melanoma-and-its-treatment-and-nursing-mangement-pptx/269636539
    Melanoma is a type of cancer that develops in the cells that produce melanin the pigment that gives skin its color. eyes also have melanin-producing cells and can develop melanoma. Eye melanoma is also called ocular melanoma. Most eye melanomas form in the part of the eye patient can’t see when looking in a mirror. This makes eye melanoma difficult to detect. In addition, eye melanoma typically doesn’t cause early signs or symptoms. Treatment is available for eye melanomas. Treatment for some small eye melanomas may not interfere with vision. However, treatment for large eye melanomas typically causes some vision loss. […] Eye melanoma may not cause signs and symptoms. When they do occur, signs and symptoms of eye melanoma can include: A sensation of flashes or specks of dust in vision (floaters) A growing dark spot on the iris A change in the shape of the dark circle (pupil) at the center of eye Poor or blurry vision in one eye Loss of peripheral vision.
  • #5 Treating Eye Cancer by Location and Size | American Cancer Society
    https://www.cancer.org/cancer/types/eye-cancer/treating/uveal-melanoma.html
    Radiation therapy is the most common treatment for eye melanomas that haven’t spread, although surgery or laser therapy might also be options in some situations. […] Managing symptoms of eye cancer may be called palliative care or supportive care. This is an important part of your care, regardless of which treatments you’re getting. It is often started soon after diagnosis and continued throughout treatment. Be sure to talk with your health care team about any symptoms you’re having, especially new or changing symptoms, so they can be treated. […] The choice of treatment should be made by both you and your doctor. Radiation and surgery appear to be about equally effective. Radiation offers the best chance of preserving vision in the eye, but some people who have radiation may eventually need surgery, too.
  • #5 Ocular Melanoma | Tufts Medicine
    https://www.tuftsmedicine.org/services-treatments/ophthalmology-new-england-eye-center/ocular-melanoma
    This is the most common and effective method for treating ocular melanoma. Plaque brachytherapy is a surgical procedure where we implant a custom-made metal disc, or plaque, directly beneath the melanoma on the outside white of your eye. […] Over the course of 5 days or so, your eye will gradually absorb small, safe amounts of radiation from the plaque that targets and eliminates the melanoma. […] This non-invasive procedure directs highly focused gamma rays to the melanoma area to destroy the cancerous cells. We’ll have you home and recovering from your Gamma Knife radiosurgery the same day. […] Enucleation is the surgical removal of the eyeball. Opting for enucleation is a decision we don’t take lightly. It’s a choice we make when other treatments aren’t effective or when there’s no useful vision in the eye.
  • #5 EYE MELANOMA and its treatment and nursing mangement .pptx
    https://www.slideshare.net/slideshow/eye-melanoma-and-its-treatment-and-nursing-mangement-pptx/269636539
    Surgery Operations used to treat eye melanoma include procedures to remove part of the eye or a procedure to remove the entire eye. What procedure patient undergo depends on the size and location of eye melanoma. Options may include: Surgery to remove the melanoma and a small area of healthy tissue – Surgery to remove the melanoma and a band of healthy tissue that surrounds it may be an option for treating small melanomas. Surgery to remove the entire eye (enucleation) – Enucleation is often used for large eye tumors. It may also be used if the tumor is causing eye pain. […] After the eye with melanoma is removed, an implant is inserted into the same position, and the muscles controlling movement of the eye are attached to the implant, which allows the implant to move. After patient had some time to heal, an artificial eye (prosthesis) is made. The front surface of new eye will be custom painted to match your existing eye.
  • #5 Eye and Vision-Related Cancer | Cancer
    https://health.ucdavis.edu/conditions/eye-and-vision-related-cancer
    At UC Davis Comprehensive Cancer Center, we offer the most advanced radiation therapies available, including proton beam therapy and stereotactic radiation therapy. […] We can treat smaller eye tumors using laser therapy. […] Cryopexy is a procedure that uses extreme cold to treat small eye tumors.
  • #5 MELANOMA: THE RETINA INSTITUTE BOARD CERTIFIED RETINAL MICRO-SURGICAL EYE CARE
    https://theretinainstitute.org/melanoma-1
    Melanoma carries a risk for spread (metastasis) to the liver, lung, and skin, so lifelong systemic monitoring is advised. […] Early treatment of this eye cancer is important to protect from metastasis. […] The goal of melanoma management is to detect the tumor early so that metastasis is minimized. […] There are several treatment methods available for melanoma including enucleation, plaque radiotherapy, partial lamellar sclerouvectomy (resection), laser photocoagulation and thermotherapy. […] Enucleation is reserved for very large tumors, especially those that have extended outside the wall of the eye or are located around the optic nerve. […] Even though the melanoma is cured and in remission in the eye, life-long systemic monitoring for metastasis is necessary, as metastasis could have occurred before the eye cancer was discovered. […] Chemotherapy and immunotherapy regimens (using melanoma vaccine) are used if there is metastasis and they can offer some control.
  • #5 Follow up After Eye Cancer Treatment | Cancer Research UK
    https://www.cancerresearchuk.org/about-cancer/eye-cancer/treatment/follow-up
    You will have regular follow ups after treatment for eye cancer. […] You usually have follow up appointments every 6 months if you’ve had treatment to cure your eye melanoma. This continues for 2 to 5 years. […] Your follow up may be different if there is a high risk that your eye melanoma may spread to the liver. […] Your doctor or nurse examines your eye at each appointment. […] If your doctor thinks that there is a risk of your eye melanoma spreading to another part of your body, you may have regular ultrasound scans of your abdomen. […] Contact your doctor or specialist nurse if you have any concerns between appointments. […] Many people find their check ups quite worrying. […] It can help to tell someone close to you how you’re feeling. […] Many people find it helpful to have counselling during or after cancer treatment.
  • #5 Supportive care for eye cancer | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/eye/supportive-care
    Supportive care helps people meet the physical, practical, emotional and spiritual challenges of eye cancer. It is an important part of cancer care. […] Recovering from eye cancer and adjusting to life after treatment is different for each person, depending on the type and stage of the cancer, the type of treatment and many other factors. […] A person who has been treated for eye cancer may have the following concerns. […] Eye cancer and its treatments can affect a persons self-esteem and body image. […] It takes time to adjust to a change in how you look and to learn how to cope with these changes. […] You may find it helpful to speak with someone else who has had a similar experience. […] Talk to your healthcare team about the support groups available to help you cope with your emotions and daily life with an artificial eye.
  • #5 Treatment Options For Eye Cancer | Cancer Research UK
    https://www.cancerresearchuk.org/about-cancer/eye-cancer/treatment/decisions
    Ask your doctor as many questions as you need to. Together you can decide which treatment is best for you. […] If the cancer has come back in your eyeball (intraocular) you will most likely have surgery to remove your eye (enucleation). You may also have radiotherapy after surgery to kill off any cancer cells left behind. […] If your cancer has spread outside the eyeball, for example, to the optic nerve or the eye socket, it is called an extraocular melanoma. Your doctor might also call this extraocular extension. Unfortunately, you will probably need surgery to remove your eye and some of the surrounding tissue. This makes sure all the cancer is gone. You might also have radiotherapy.
  • #6 Proton Therapy for Ocular Melanoma | Conditions & Treatments | UCSF Health
    https://www.ucsfhealth.org/treatments/proton-therapy-for-ocular-melanoma
    Proton therapy is considered the gold standard of care for ocular melanoma. It delivers powerful doses of radiation to the tumor while sparing surrounding healthy eye tissue. […] After completing the proton treatments, you will receive follow-up care with your ophthalmologist and other doctors.
  • #6 MELANOMA: THE RETINA INSTITUTE BOARD CERTIFIED RETINAL MICRO-SURGICAL EYE CARE
    https://theretinainstitute.org/melanoma-1
    Melanoma carries a risk for spread (metastasis) to the liver, lung, and skin, so lifelong systemic monitoring is advised. […] Early treatment of this eye cancer is important to protect from metastasis. […] The goal of melanoma management is to detect the tumor early so that metastasis is minimized. […] There are several treatment methods available for melanoma including enucleation, plaque radiotherapy, partial lamellar sclerouvectomy (resection), laser photocoagulation and thermotherapy. […] Enucleation is reserved for very large tumors, especially those that have extended outside the wall of the eye or are located around the optic nerve. […] Even though the melanoma is cured and in remission in the eye, life-long systemic monitoring for metastasis is necessary, as metastasis could have occurred before the eye cancer was discovered. […] Chemotherapy and immunotherapy regimens (using melanoma vaccine) are used if there is metastasis and they can offer some control.
  • #6 Ocular (eye) melanoma cancer | Cancer Council
    https://www.cancer.org.au/cancer-information/types-of-cancer/rare-cancers/eye-ocular-melanoma
    Ocular melanoma is also known as uveal melanoma, intraocular melanoma or eye melanoma. […] If your doctor or optometrist thinks that you may have ocular melanoma, they will carry out certain tests. […] The main factors in deciding on what treatment you will have are the location and size of the tumour and wanting to save the sight of your eye. Preserving how your eye looks is also important. Treatments may include surgery, radiation therapy, laser treatment (transpupillary thermotherapy), photodynamic therapy and immunotherapy. […] Surgery for ocular melanoma may involve removing just the tumour, removing part of the eye, or removing the entire eye (enucleation) if it has been severely damaged by the tumour. […] Radiation therapy (also known as radiotherapy) uses high energy rays to destroy cancer cells.
  • #6 New Clues to Metastasis of Ocular Melanoma | OHSU
    https://www.ohsu.edu/casey-eye-institute/new-clues-metastasis-ocular-melanoma
    We are also interested in evaluating CHCs as a diagnostic biomarker, says Skalet. Can they help us diagnose ocular melanoma, or differentiate melanoma from benign nevi based on a blood test? […] Circulating hybrid cells may also be a marker of how well treatment is working. Do CHC levels drop after treatment? Skalet asks. This is an exciting area of ongoing research. […] Casey Eye Institute treats many patients with ocular melanoma approximately 4 percent of those in the United States, according to Skalet. At OHSU she works with a multi-disciplinary team to provide care to patients with ocular melanoma. […] A new treatment option for patients with metastatic ocular melanoma suggests how this could work. In January 2022, the US Food and Drug Administration approved the first-ever drug for ocular melanoma, tebentafusp-tnb (KIMMTRAK). This treatment is available through medical oncology at OHSU to patients who qualify.
  • #6 Ocular (Eye) Melanoma Treatment | Memorial Sloan Kettering Cancer Center | Memorial Sloan Kettering Cancer Center
    https://www.mskcc.org/cancer-care/types/melanoma/treatment/ocular-melanoma
    David Abramson cares for patients with melanoma of the eye. […] Many people come to us for care after an ophthalmologist conducting a routine eye examination detects suspicious changes in one of their eyes. […] At MSK, we see more than 200 cases of benign eye lesions (choroidal nevi) each year and treat approximately 60 people with new eye melanomas (also called ocular melanoma) each year. […] Well help you understand your condition and treatment options and design a personalized treatment plan for you. […] Our experts have decades of experience using brachytherapy for eye melanoma, and we treat many people with this approach. […] Depending on the size, location, and stage of the tumor, we may recommend that you have an operation to remove the eye. […] If the tumor is small, we may be able to treat it effectively with laser therapy. […] After your treatment for eye melanoma, we usually like to see you twice a year for eye examinations. […] We also find its important to have periodic scans and blood tests to check for signs of disease in the rest of your body just to be extra careful.
  • #6 Follow up After Eye Cancer Treatment | Cancer Research UK
    https://www.cancerresearchuk.org/about-cancer/eye-cancer/treatment/follow-up
    You will have regular follow ups after treatment for eye cancer. […] You usually have follow up appointments every 6 months if you’ve had treatment to cure your eye melanoma. This continues for 2 to 5 years. […] Your follow up may be different if there is a high risk that your eye melanoma may spread to the liver. […] Your doctor or nurse examines your eye at each appointment. […] If your doctor thinks that there is a risk of your eye melanoma spreading to another part of your body, you may have regular ultrasound scans of your abdomen. […] Contact your doctor or specialist nurse if you have any concerns between appointments. […] Many people find their check ups quite worrying. […] It can help to tell someone close to you how you’re feeling. […] Many people find it helpful to have counselling during or after cancer treatment.
  • #7 Proton Therapy for Ocular Melanoma | Fred Hutchinson Cancer Center
    https://www.fredhutch.org/en/patient-care/treatments/proton-therapy/ocular-melanoma.html
    Proton therapy is considered a standard of care for ocular melanomas. […] If you have ocular melanoma, the radiation oncologists at our proton therapy facility will work with your eye specialist to make a personal treatment plan for you. […] Our proton therapy team is here not only to treat your disease, but to listen to you and take care of you and your family. They are experts in proton therapy who focus on giving you personalized treatment and who understand your questions, needs and concerns.
  • #7 EYE MELANOMA and its treatment and nursing mangement .pptx
    https://www.slideshare.net/slideshow/eye-melanoma-and-its-treatment-and-nursing-mangement-pptx/269636539
    Surgery Operations used to treat eye melanoma include procedures to remove part of the eye or a procedure to remove the entire eye. What procedure patient undergo depends on the size and location of eye melanoma. Options may include: Surgery to remove the melanoma and a small area of healthy tissue – Surgery to remove the melanoma and a band of healthy tissue that surrounds it may be an option for treating small melanomas. Surgery to remove the entire eye (enucleation) – Enucleation is often used for large eye tumors. It may also be used if the tumor is causing eye pain. […] After the eye with melanoma is removed, an implant is inserted into the same position, and the muscles controlling movement of the eye are attached to the implant, which allows the implant to move. After patient had some time to heal, an artificial eye (prosthesis) is made. The front surface of new eye will be custom painted to match your existing eye.
  • #8 Early detection of rare eye cancer is important | UCLA Health
    https://www.uclahealth.org/news/article/early-detection-of-rare-eye-cancer-is-important
    Ocular melanoma is a tumor that arises in the pigmented cells under the retina of the eye. When detected early, the cancer is treatable and a persons prognosis for vision and survival remains good. […] Radiation is the best way to treat eye cancer. At UCLA, we stitch a gold plaque to the outside of the eye, and remove the plaque seven days later. The plaque contains tiny radioactive seeds that kill the cancer cells. […] Once the plaque is removed, the patient is considered radiation-free and may return to normal activities. […] The downside to radiation is that it can injure the optic nerve and retina, potentially leading to future blindness. […] At UCLA, we treat ocular melanoma in an entirely novel way, by including vision-saving strategies in our approach to destroying the cancer.