Neoplastic Disorders of Visual Apparatus: Advances and Management

Purpose: Ocular neoplasms, both primary and metastatic, may present with visual disturbance or vision loss often are asymptomatic. Clinical examination demonstrate leukocoria, abnormal pupillary light reflex, a mass lesion without retinal detachment hemorrhage. Retinoblastoma in children uveal melanoma ocular metastases adults the most important malignant neoplasms referred for imaging to aid diagnosis staging. Familiarity their common appearances, patterns of spread, diagnostic findings greatest concern optometrist oncologist will enhance accuracy interpretation.
 Methodology: using B-scan ultrasound, A-scan fluorescein angiography, computed tomography magnetic resonance have complementary roles tumor staging treatment assessment.
 Findings: neoplasm tumors relatively rare but require unique considerations given functional importance eye periocular structures metastatic behavior. In following paper, major adnexa including eyelid, conjunctiva orbit be reviewed. Frozen section control margins and, selected cases, Mohs microsurgery decreased recurrence rate eyelid tumors. Intraoperative cryotherapy postoperative topical mitomycin C similarly contributed better surgical outcomes conjunctival squamous cell carcinoma melanoma. Immunotherapy CD20 antibodies is developing lymphomas.
 Unique Contribution Theory, Practice Policy: Optometrists by new advances clinical optometry training/research, specialists occuloplasty/ocularistry form part team multidisciplinary approach management neoplastic disorders apparatus.