PRESMED ANNUAL OPTOMETRIST CONFERENCE

MARCH 10, 2013

OCULAR ONCOLOGYOCULAR ONCOLOGY UPDATEUPDATE

MICHAEL E GIBLIN FRANZCO

Ocular surface squamous neoplasia (OSSN)

• Squamous dysplasia• Squamous cell carcinoma

(SCC) in situ• Invasive squamous cell

carcinoma

Corneal scarring/pannus

Pseudopterygium

Suture granuloma

Squamous cell carcinoma in situ

Invasive squamous cell carcinoma

Rx: Interferon/retinoic acid

SCC: intraocular invasion

Conjunctival naevus

Conjunctival naevus

Primary acquired conjunctival melanosis (PAM)

PAM/early melanoma

Post MMC

Conjunctival melanoma/primary acquired conjunctival melanosis with atypia

Pre-Mitomycin C

Post-op

Conjunctival melanoma origin

•de novo•Conjunctival naevus•Primary acquired conjunctival melanosis (PAM)

Iris melanoma: extraocular extension

OD

OS

OSOS

Ocular melanocytosis

OS

OD OS

Choroidal melanoma/extraocular

extension

Wet AMD

Submacular

Flattish

Haemorrhage

Crenated edge

Colour

Choroidal haemangioma

Colour: yellowy orangeyBorder: indistinctUltrasound: high internal reflectivity

Fluorescein angiography

Choroidal haemangioma

F/A: early hyperfluorescence

Choroidal osteoma

•Young females•75% unilateral•Posterior pole•Choroidal neovascularisation

MAGICMIKETHEMEDICINEMAN