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INTRAOCULAR TUMOURS
CLASSIFICATION
TUMORS OF UVEAL TRACT TUMORS OF RETINA
Benign Choroid Ciliary body Iris
Naevus Naevus Neurofibroma
Haemangioma Benign cyst Benign cyst Hemangioma
Osteoma Medulloepithelioma juvenile
xanthogranuloma
Astrocytoma
Malignant Melanoma
Metastasis
Melanoma
Metastasis
Melanoma
Metastasis
Retinoblasoma
Melanoma
Metastasis
Melanoma
The most common primary intraocular
tumour of adults
Mean age 40-70 years
Gross- two forms
-circumscribed / pedunculated
-diffuse/ flat type
Histopathology-
spindle cell or epithelioid cell or mixed cell
Clinical features - 4 stages
Quiescent stage,Glaucomatous stage, Extraocular extension stage, Distant metastasis stage
CHOROIDAL MELANOMA
Investigations
USG- Collar Stud configuration
FFA- Dual circulation
OCT-
ICGA- diffuse Hyperflurescence
MRI- Hyperintese lesion (T1)
Hypointense (T2)
PETCT
Biopsy-
IHC-Melanoma markers
S100, melanA, HMB45,
Treatment
Brachytherapy
External beam radiotherapy
Trans Pupillary Thermotherapy
Trans Scleeral Local Resection
Enucleation

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occular tumors -ug class.pptx

  • 2. CLASSIFICATION TUMORS OF UVEAL TRACT TUMORS OF RETINA Benign Choroid Ciliary body Iris Naevus Naevus Neurofibroma Haemangioma Benign cyst Benign cyst Hemangioma Osteoma Medulloepithelioma juvenile xanthogranuloma Astrocytoma Malignant Melanoma Metastasis Melanoma Metastasis Melanoma Metastasis Retinoblasoma Melanoma Metastasis
  • 3. Melanoma The most common primary intraocular tumour of adults Mean age 40-70 years Gross- two forms -circumscribed / pedunculated -diffuse/ flat type Histopathology- spindle cell or epithelioid cell or mixed cell Clinical features - 4 stages Quiescent stage,Glaucomatous stage, Extraocular extension stage, Distant metastasis stage
  • 4. CHOROIDAL MELANOMA Investigations USG- Collar Stud configuration FFA- Dual circulation OCT- ICGA- diffuse Hyperflurescence MRI- Hyperintese lesion (T1) Hypointense (T2) PETCT Biopsy- IHC-Melanoma markers S100, melanA, HMB45, Treatment Brachytherapy External beam radiotherapy Trans Pupillary Thermotherapy Trans Scleeral Local Resection Enucleation