ما هي استشارة الأورام العينية: نظرة عامة ، الفوائد ، والنتائج المتوقعة

التعريف والنظرة العامة

An ocular oncology consultation, also known as an ophthalmic oncology consultation, is the first step in seeking medical treatment for all patients with eye tumours, regardless if they are cancerous or not. The goal of the consultation is to get a diagnosis and a list of possible treatment options.

Requesting for an ocular oncology consultation does not put the patient under any obligation to push through with any type of treatment suggested by the consulting physician. The patient is free to seek a second opinion should he has any doubts about the findings or treatment options presented.

من يجب أن يخضع للنتائج المتوقعة

An ocular oncology consultation is strongly recommended for all patients who suspect that they might be suffering from eye cancer, which come in many forms, such as:

• Eyelid tumors
• Conjunctival tumors, some examples of which include melanoma or ocular surface squamous neoplasia
• Anterior segment tumors
• Iris tumors
• Lymphoma of the eye
• Metastatic lesions
• Vascular eye lesions
• Orbital nerve lesions
• Optic nerve lesions
• Melanocytoma
• Nevus
• Hemangioma
• Osteoma
• Granuloma and xanthogranuloma
• Disciform degeneration

• Congenital hypertrophy of retinal pigment epithelium
  Patients who experience the following symptoms will also benefit from such consultation:

• Bulging in one eye

• Blurred vision
• Complete or partial vision loss
• Seeing flashes of light
• Seeing spots or floating objects (also known as floaters)
• A dark spot on the iris
• Misting of the eye lens (similar to a cataract)
• Lumps on the surface of the eye, either on the conjunctiva or the cornea
• Any physical changes in the appearance of the eye
  These symptoms can be brought to the attention of a regular eye doctor, who can refer the patient to an ocular oncologist if cancer of the eye is suspected. The eye doctor will make the referral based on the symptoms, and the oncologist will take over from there and order necessary tests.

At the end of an ocular oncology consultation, the patient may expect to receive a suspected diagnosis requiring further investigation or a confirmed diagnosis, which is followed by the doctor’s treatment recommendations.

How the Procedure Works

An ocular oncology consultation takes place at the clinic or office of an eye doctor or an ocular oncologist and usually takes an hour or so. It is normal for the oncologist to conduct some tests during the consultation if the necessary equipment is already available. Otherwise, he may request for the tests to be done separately and may call the patient in for a follow-up.

During the ocular oncology consultation, the doctor will ask about the patient’s:

• History of ocular health
• Medical history
• Family history of cancer

• أعراض
  If more information is required to come up with a conclusive diagnosis, the consultation may lead to some tests, such as:

• External eye examination

• Ophthalmoscopic examination of the inside of the eye
• Ultrasound or echography
• Fluorescein angiography
• Fine needle biopsy
• CT scan
• MRI scan
• PET scan
• Gonioscopy
• تحاليل الدم
• Visual acuity assessment
• Ocular pressure measurement
• Pupillary and ocular motion assessment

• Slit-lamp exam
  The consultation also gives the patient a chance to ask any questions, which may include the following:

• What type of eye cancer is it?

• Which part of the eye is affected?
• What other symptoms may develop due to this condition?
• What is the stage of cancer and what does this mean?
• What are my treatment options and their possible side effects?

• Is the consulting doctor experienced in treating this type of cancer?
  During the consultation, the ocular oncologist may also take the opportunity to provide a brief description of the patient’s treatment options to help him make a well-informed decision. These options may include:

• Surgical tumor resection

• Systemic العلاج الكيميائي
• Radiation therapy
• Plaque brachytherapy
• Laser therapy

المخاطر والمضاعفات المحتملة

An ocular oncology consultation is safe for all patients and plays an important role in helping a patient manage his eye cancer. All eye exams are also safe and cause very little discomfort.

Some of these tests use special equipment or medications to stimulate specific eye movement, such as pupil dilation. These tests are safe, although their effects may persist for several hours after the exam. Thus, they are advised to arrange for a ride home if they are scheduled for such exams.

Imaging scans also carry a very small risk due to the radiation used. However, as with all other imaging scans used to diagnose a medical condition, the dose of radiation in these tests are very minimal and are always carefully controlled by the doctor conducting the test. If the patient is pregnant or believed to be pregnant, the oncologist will perform an alternative eye test to obtain the necessary information.

مرجع:

• American Academy of Ophthalmology Preferred Practice Patterns Committee. Preferred Practice Pattern Guidelines. Comprehensive Adult Medical Eye Evaluation – 2010. Available at one.aao.org/preferred-practice-pattern/comprehensive-adult-medical-eye-evaluation–octobe. Accessed February 27, 2015.

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## **Ocular Oncology Consultation: Overview, Benefits, and Expected Results**



### **What is Ocular Oncology Consultation?**



Ocular oncology ‍consultation is a specialized branch of ophthalmology that deals with the diagnosis, management, and treatment of eye⁤ tumors and cancers. An ocular oncologist is an ophthalmologist who has received additional training and expertise in diagnosing and treating eye​ cancers. Ocular oncology consultation is recommended for individuals​ who have experienced concerning eye ‌symptoms or have been ‌diagnosed with eye cancer.



### **Common Reasons for Ocular Oncology Consultation:**



-⁤ Unexplained changes in eyesight or vision

– Presence of ocular mass or growth

– Persistent redness, ⁣pain, or irritation ⁢in the eye

– Sudden onset of floaters, flashes, or visual ‌field defects

– Unexplained changes in the appearance of the eye



### **Benefits of Ocular⁣ Oncology Consultation:**



-‍ **Expert Evaluation:** An ocular oncologist has the necessary expertise and training to accurately ⁣diagnose and ‌assess eye conditions, including tumors and cancers, enabling proper treatment.

– **Early Detection:** Early detection of eye cancer ⁣is crucial​ for successful treatment outcomes. Ocular oncologists can detect eye tumors and cancers at an early stage, increasing the likelihood ​of effective treatment.

– **Unbiased Recommendations:** Ocular oncologists​ provide unbiased recommendations for the most appropriate treatment options based on the patient’s specific situation and needs. They can also provide guidance on⁤ supportive care and follow-up appointments.

– **Close Monitoring:** After treatment, ocular oncologists closely monitor patients to detect any changes or⁤ recurrence of​ eye cancer. They conduct regular follow-up examinations to ensure the patient’s long-term eye health.



### **Expected Results:**



The expected results of an ocular oncology consultation vary depending on the specific condition being evaluated. However, common expected results include:



– Accurate diagnosis of eye tumors or cancers

– A comprehensive treatment plan tailored to the patient’s individual needs

– Guidance⁣ on supportive care and⁤ follow-up appointments

– Close monitoring to detect changes or recurrence of⁤ eye cancer

– Referral to other specialists if ⁤necessary



### **Conclusion:**



Ocular oncology consultation plays a crucial role in diagnosing, managing, and treating eye tumors and cancers. Early detection is key for successful treatment outcomes. Ocular oncologists provide expert evaluation, unbiased recommendations, close monitoring, and guidance on ⁤supportive care. Consulting an ocular oncologist is‍ essential for individuals ⁤experiencing concerning eye symptoms or diagnosed with eye cancer.