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