University of Cincinnati Cancer Institute | UCCI

Contact and Appointments: (513) 475-8500

Treatment & Services

The principal services provided by members of the Ocular Oncology Center to patients with an eye tumor include the following:

Diagnostic Evaluation

Each patient referred to the Ocular Oncology Center will undergo a comprehensive ophthalmic physical examination. The purpose of this evaluation is to determine (if possible) the nature of the tumor, identify the tumor’s full extent and determine whether a diagnostic biopsy or some type of treatment is appropriate.

The examination includes a mapping of identified eye abnormalities by one or more of the ophthalmologists and appropriate office diagnostic testing (including but not limited to documentary ocular photography and ocular ultrasonography). For infants and young children, this evaluation may need to be performed under general anesthesia.

Patient Counseling

Following diagnostic evaluation, every patient is counseled in detail by one of our ocular oncologists regarding:

  • probable nature of the eye tumor
  • expected clinical course if no intervention is taken
  • recognized potential benefits, risks and limitations of available interventions

Management Planning

Following the counseling session, our Ocular Oncology Center doctors and their staff may recommend periodic follow up without intervention (in the case of benign tumors, arrange for biopsy of the tumor (in cases where the diagnosis is not certain) or arrange for baseline whole body evaluation (to identify or rule out other bodily sites involved by tumor) and appropriate treatment for the tumor and associated abnormalities.

Our physicians develop a management plan for each patient’s eye tumor that takes into account all of the following:

  • Tumor type, size and location
  • Potential impacts of the tumor on survival and vision
  • Potential impacts of available management options on survival and vision
  • Age and general health of the patient

Principal Procedures and Treatments

  • Diagnostic fine needle aspiration biopsy of possibly malignant intraocular tumors
  • Radioactive plaque therapy for selected intraocular tumors
  • Enucleation (removal) of eyes containing a malignant intraocular tumor that cannot be managed by other methods
  • Prognostic fine needle aspiration biopsy of uveal melanomas in conjunction with intraocular tumor treatment
  • Injection of chemotherapeutic drug or related drug into or around the eye
  • Selective ophthalmic artery infusion chemotherapy (for retinoblastoma)
  • External beam radiation therapy for selected intraocular, epibulbar and orbital tumors
  • Surgical removal of selected iris and ciliochoroidal tumors
  • Surgical incisional biopsy and excision of epibular, orbital, and eyelid tumors

Post-Management Follow Up

Following initial evaluation or intervention for an eye tumor, members of the Ocular Oncology Center will suggest an appropriate follow-up schedule for each patient to watch for progression of untreated tumors, regression (shrinkage) or recurrence of treated or excised tumors and development of new eye problems associated with those tumors or the prior interventions.