Risk Factors
Several risk factors that are suspected to increase the risk of tumors in the eyes are over 50 years old, white, bright eye color, such as blue or green, having a history of cancer in the family. Several studies have stated that exposure to harmful chemicals, exposure to sunlight or ultraviolet light is also related to the emergence of cancer in the eyes.
Symptoms
Symptoms of eye cancer are different, depending on their types. Symptoms can resemble symptoms of other eye conditions or diseases. Sometimes, eye cancer can also not cause any symptoms at first. However, in general, symptoms of cancer in the eyes can include:
- Dark spots on the slices
- Visibility disorders
- Narrowing the field of view
- Seeing objects flying (floaters), lines, or spots
- Seeing the flash of light
- Changes in the size and shape of the pupils
- Strabismus or juling
- One eye looks prominent
- Painful eyes
- Red eyes or irritation
Diagnosed
The slicing tumor diagnosis can be enforced through in-depth interviews (anamnesis) regarding complaints and symptoms experienced by the patient, including since when symptoms appear and what can trigger or relieve symptoms, as well as a general patient's medical history. Then physical examinations can be carried out such as an eye-sharp test, field of view, eye-ball motion. Eye examination is carried out with the help of tools such as an attalmoscoscope, slit lamp and lens gonioscopy to see eye condition. This examination aims to determine the ability of eye vision, eye player movement and eye blood vessel condition. If the results of the examination show the possibility of tumors or eye cancer, several examinations can be carried out to confirm their diagnosis such as eye ultrasound examinations, CT scans and MRI to determine the location and size of tumor cells, biopsi to take samples of eye tissue suspected of having abnormalities to be examined in laboratory.
Laksana Procedure
The chances of healing a tumor slice depend on the size of the tumor, severity of the condition, and extent as well as the part of the eye that has an abnormality. In some patients, recurrence can also occur after treatment and is declared cured. Treatment from various eye cancer diseases aims to maintain eye function, prevent the spread of cancer cells to other parts of the body and prevent recurrence after treatment. Some actions that can be taken such as surgery. The types of operations carried out depend on the location and size of the existing tumor tissue. When surgery is carried out, patients are usually given total anesthetic. In cases of tumour slices, actions can be taken as follows:
- Iridektomi is the removal of parts of eye slices, usually in cases of small tumors and malignant tumours.
- Iridotrabulektomi is the removal of part of the slice along with a small part of the eye ball.
- Iridosikletomi yaitu pengangkatan bagian iris beserta sebagian badan siliaris.
- Enucleation is the removal of all eye bags, usually in cases of large tumors or in patients who have lost sight.
- Eye expression is the removal of the eyepieces and several other parts around them, such as eyelids, muscles, nerves, and other tissues in the eye cavity.
Radiotherapy is a treatment performed by firing high-energy X-rays on a tumor tissue. With radiotherapy, the risk of loss or damage to the eye's eye and loss of sight can be reduced. Laser therapy serves to destroy cancer tissue using laser beams. Further chemotherapy is a method of treatment of eye cancer using chemical drugs. Chemotherapy can be injected directly into the eye region (intraocular), into a cerebrospinal liquid or given through infusion. If chemotherapy drugs are ineffective, immunotherapy and target therapeutic drugs can be given. Then the latter can be cryotherapy, namely an eye cancer treatment method by freezing cancer tissue.
Complications
Complications that can occur are loss of sight or blindness, glaukuma, and the spread of cancer cells to other parts of the body (metastasis).
Prevention
Most tumors in the eyes of the cause are still unknown, making it difficult to prevent the emergence of tumors/eye cancers. The best way that can be done is to carry out early examinations from an early age since the children, especially if there is a history of similar diseases in the family and if symptoms arise in the eyes. Checks must be carried out regularly.
When Do You Have To Go To A Doctor?
Both tumour slices or other types of eye cancer are not specific and can resemble symptoms from other conditions or eye disease, so it is recommended to do a doctor's examination if you experience symptoms as described, especially if the symptoms do not subside after 2 weeks. Routine examinations of eye doctors are highly recommended if they have factors that can increase the risk of developing eye cancer. Examination should be done once a year so that cancer can be detected as early as possible.
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- dr Ayu Munawaroh, MKK
Maheshwari, A., & Finger, P.T. (2018). Cancers of the eye. Cancer Metastasis Rev 37, pp. 677–690.
American Cancer Society (2018). Cancer A-Z. Eye Cancer.
Boyd, K. American Academy of Ophthalmology (2020). Eye Health A-Z. Eye Cancer.
University of Rochester Medical Center (2020). Encyclopedia. Eye Cancer: Introduction.
Cancer.Net (2015). Types of Cancer. Eye Cancer.