The document is a summary of the annual conference of the Presmed Optometrist held on March 10, 2013. It discusses updates on various ocular cancers and diseases including ocular surface squamous neoplasia, conjunctival melanoma, choroidal melanoma, wet age-related macular degeneration, choroidal haemangioma, and choroidal osteoma. Treatment options for some conditions like squamous cell carcinoma and diagnostic tools for conditions like choroidal haemangioma are also mentioned.

1. PRESMED ANNUAL
OPTOMETRIST
CONFERENCE
MARCH 10, 2013
OCULAR ONCOLOGYOCULAR ONCOLOGY
UPDATEUPDATE
MICHAEL E GIBLIN
FRANZCO

2. Ocular surface squamous
neoplasia (OSSN)
• Squamous dysplasia
• Squamous cell carcinoma (SCC)
in situ
• Invasive squamous cell
carcinoma

3. Corneal scarring/pannus

4. Pseudopterygium

5. Suture granuloma

6. Squamous cell carcinoma in situ

7. Invasive squamous cell carcinoma
Rx: Interferon/retinoic acid

8. SCC: intraocular invasion

9. Conjunctival naevus

10. Conjunctival naevus

11. Primary acquired
conjunctival melanosis
(PAM)

12. PAM/early melanoma
Post MMC

13. Conjunctival melanoma/primary
acquired conjunctival melanosis with
atypia

14. Pre-Mitomycin C
Post-op

15. Conjunctival melanoma origin
• de novo
• Conjunctival naevus
• Primary acquired conjunctival
melanosis (PAM)

16. Iris melanoma: extraocular
extension
O
D
OS
OS
OS

17. Ocular melanocytosis
OS

18. OD OS

20. Choroidal
melanoma/extraocular
extension

21. Wet AMD
Submacular
Flattish
Haemorrhage
Crenated edge Colour

22. Choroidal haemangioma
Colour: yellowy orangey
Border: indistinct
Ultrasound: high internal
reflectivity
Fluorescein angiography

23. Choroidal haemangioma
F/A: early hyperfluorescence

24. Choroidal osteoma
• Young females
• 75% unilateral
• Posterior pole
• Choroidal neovascularisation

26. M
AG
ICMI
KETHE
MEDICI
NEMAN