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Doctor insights on: Best Intraocular Melanoma Program

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Expert opinions? Which intraocular lens is good for cataract operation?

Expert opinions? Which intraocular lens is good for cataract operation?

Cataract IOL choice: Best intraocular (IOL) choice: Depends on what you want to see best after surgery, do you have astigmatism, etc. If you want good reading, intermediate, distance VA, Multifocal or Crystalens may be option. Full answer: Cataract Surgery Options at eyedoc2020.blogspot.com. ...Read more

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Dr. Mike Bowman
957 doctors shared insights

Skin Cancer (Definition)

A condition in which some element of your skin--which is one of the most complex organs in the body--degenerates into cancer. The three most common types of skin cancer are: basal cell, squamous cell, and melanoma which occur in that order and degree of aggressiveness. Although heredity plays a major role, sun exposure and tobacco use and ...Read more


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Best institution for experimental protocol to add to nexavar (sorafenib) for metastatic HCC - 34 yo Asian male, s/p omental resection?

Best institution for experimental protocol to add to nexavar (sorafenib) for metastatic HCC - 34 yo Asian male, s/p omental resection?

Many: The top Cancer Centers are located in Houston(MD Anderson) and New York(Sloan Kettering Center. Tell us which state you live in, we might be able to help you find someone closer to your home ...Read more

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In the next 10 years will there be new glaucoma eye surgery procedures that make recovery easier & improve the success rate?

In the next 10 years will there be new glaucoma eye surgery procedures that make recovery easier & improve the success rate?

Yes: I'm excited about future innovations in glaucoma surgery as well new medications ;/or medication delivery systems. We already have newer and safer surgeries like canoloplasty, express shunt, i-stent, and other yet to be approved procedures. Optimistically, the next 10 years should expand our repertoire of glaucoma treatments that can be customized to the patients particular needs. ...Read more

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Alternative to slow down retinitis pigmentosa? Also does using bifocal lens on cataract surgery worsen the eye iself than standard lens

Alternative to slow down retinitis pigmentosa? Also does using bifocal lens on cataract surgery worsen the eye iself than standard lens

Vitamin A: Vitamin a , 15000 iu has been shown to slow down the progression of retinitis pigmentosa in some patients. A bifocal lens implanted during cataract surgery may not be the best lens for an rp patient. Small decreases in contrast sensitivity and halos can rarely occur with a bifocal iol. The best vision may be optained with a convetional implant. Your ophthalmologist can help you choose. ...Read more

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Will "close work" (e.g., computer at work, reading, etc) be impactful to peripheral lattice retinal degeneration? Or only for myopia progression?

Will "close work" (e.g., computer at work, reading, etc) be impactful to peripheral lattice retinal degeneration?  Or only for myopia progression?

Not likely: There are some animal studies that suggest that intense near work in children could enhance myopia. I don't believe that mechanism is still at play by age 41. There should be no impact on lattice degeneration from computer work or reading. Lattice degeneration per se does not progress. What changes in the eye is the state of the vitreous gel and its relationship to the lattice. ...Read more

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Do competer use increases risk of macular degeneration in high RX patient (-5.75)?. Doctor said there's thinning. Transitions lenses IT professional

Do competer use increases risk of macular degeneration in high RX patient (-5.75)?. Doctor said there's thinning. Transitions lenses IT professional

Not to worry: Macular degeneration is an older folks disease to begin with so you don't have to think about it for 30 more years. Your myopia is not high but just more than the average and well below anything that could be a problem from the myopia alone. Did your doctor do an OCT to determine thinning -? In the absence of conditions like diabetes, this test is unnecessary at your age. ...Read more

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How effective is the new light adjustable lens for cataract surgery?

How effective is the new light adjustable lens for cataract surgery?

Promising: Exciting new technology......Shows promise but long term results are not yet known. ...Read more

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Please suggest what type of intraocular lens (iol) brightocular uses in their procedure?

Please suggest what type of intraocular lens (iol) brightocular uses in their procedure?

IOLs: Bright Ocular is an intraocular implant placed in the Anterior chamber of the eye to change the color of Iris in conditions like: Albinism, Iris Coloboma, Partial or total Aniridia. It is not used to correct vision, but to treat intense photophobia.. lasik can be done few months prior or after the implant to correct the vision. It is FDA approved, to my knowledge. ...Read more

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What is the newest biomedical approach to heart cancer?

What is the newest biomedical approach to heart cancer?

Heart CA is rare: Heart cancers are rare, cancers develop in tissues that grow and multiply , one reason cancers rarely develop in heart, from connective tissues myxomas can develop . It is possible to place a mechanical heart till cadaver heart donor is available , i don't know it was ever done. ...Read more

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What supplements/diet should i adopt after a penetrating keratoplasty (pkp) surgery / cornea transplant that helps in corneal recovery and beyond?

What supplements/diet should i adopt after a penetrating keratoplasty (pkp) surgery / cornea transplant that helps in corneal recovery and beyond?

Nothing special: Be sure you use your topical medications as prescribed and on schedule. Some think Vitamin C supplement can be helpful with corneal healing. But the best thing is to maintain a balanced diet and keep yourself generally healthy. The cornea will grab what it needs for its health and survival. ...Read more

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For the experts - might the catarct surgery be safe amd improve eye sight ?

For the experts - might the catarct surgery be safe amd improve eye sight ?

Safe Surgery: Depending on other risk factors (length of eye: if very short; history of other eye, h/o trauma, diabetes, on aspirin, flomax, (tamsulosin) general health, etc) cataract surgery is generally very safe & recommended if vision ...Read more

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Do you know are intraocular lens implants to restore good vision a permanent cure for cataracts and myopia?

Do you know are intraocular lens implants to restore good vision a permanent cure for cataracts and myopia?

Cataract Surgery: Cataract surgery has advanced tremendously in the last few decades. Risks still remain but the majority of patients have their cataracts & myopia cured with cataract (or clear lens) extraction & premium intraocular lenses. See for more info: eyedoc2020.blogspot.com: Cataract Surgery Options. ...Read more

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Deteriorating vision w panuveitis & cataract in right eye.19, studying & am finding it tough to cope.Can cataract surgery only be done once?W orzudex?

Deteriorating vision w panuveitis & cataract in right eye.19, studying & am finding it tough to cope.Can cataract surgery only be done once?W orzudex?

Can be done more: than once, but in an eye that is already internally inflamed, even doing one cataract surgery has it's risks, as well as post-op cataract recovery time. Must reduce stress levels, and also have a full work up done by your internist to look at other causes of system inflammation and rule that out too. Want the eye as quiet as possible. ...Read more

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Md writes that ultherapy treats the same foundation layer that facelift surgery does without the risk, recovery & downtime. True? New gold standard?

Md writes that ultherapy treats the same foundation layer that facelift surgery does without the risk, recovery & downtime. True? New gold standard?

I'm sorry, not true!: I am not sure who wrote that but I am sure it is someone who owns and is paying the lease on an ultherapy machine. This is not a substitute for a facelift, most current facelift techniques treat the deeper layers of thef face called the smas. Ultherapy is unlikely to truly tighten the smas. It may supplement the results but is far different in results from a facelift. ...Read more

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Is any drug useful for glaucoma to preserve field of vision?

Is any drug useful for glaucoma to preserve field of vision?

Yes: There are many eye medications that have been shown to be very useful in the management of glaucoma. Unfortunately, it may continue to progress and appropriate treatment may include surgical intervention and/or eye medications. ...Read more

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For depression how to choose a/best tms center/provider & how best to maximize chances of insurance (cigna ppo) paying for it?

For depression how to choose a/best tms center/provider & how best to maximize chances of insurance (cigna ppo) paying for it?

Fairly simple: One of the first things is location. Since this is typically 30 treatments in six weeks - m-f, you want some place you can either drive to or have a short stay hotel there for six m-f periods. You can go to www.Neuronetics.Com to search all tms centers in usa who have the neurostar system installed. Payment issues - i will have to answer this in a seperate comment. :). ...Read more

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Polycarbonate vs plastic lenses best for high myope?

Polycarbonate vs plastic lenses best for high myope?

Probably polycarb: Polycarbonate lenses are "high index" lenses . They are often used in high myopes to allow for the glasses to be thinner and lighter. They do have more chromatic aberration though. Discuss the various pros and cons with your optician before deciding what it right for you. ...Read more

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What are the tests for intraocular melanoma?

What are the tests for intraocular melanoma?

Eye exam: An eye examination by an ophthamologist is usually how the diagnosis is made. More detailed examination by a specialist in retinas or ocular oncology may follow. A biopsy can be done by the specialist. ...Read more

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What is the treatment for intraocular melanoma?

What is the treatment for intraocular melanoma?

Radiation or surgery: If the tumor has not spread, most people are treated with surgery or localized radiation. The decision on which treatment is generally made by a specialist in the area. ...Read more

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What work best to treat recurrent melanoma?

What work best to treat recurrent melanoma?

Surgery: Surgery is the best treatment of melanoma. If the melanoma has spread so that surgery is not possible there are new chemotherapeutic medication that shows some promise. Cancer centers also have vaccines and there is a medication called interferon that may help. In some cases radiation therapy is used to reduce symptoms but it cannot sure melanoma. ...Read more

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What is the best remedy for a facial melanoma problem?

Surgery: The primary treatment of almost all melanomas is surgery, regardless of location. ...Read more

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What is the best new treatment for melanoma?

Depends: Currently, surgical excision is the standard of care. However, depending on the stage of a patient's melanoma there are some new treatments that may show promise for the future. Vemurafenib is one such treatment, but it is used in a very specific set of patients. Melanoma vaccines are also theoretically possible but have not been very successful to date. ...Read more

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What's the best treatment to get rid of melanoma?

What's the best treatment to get rid of melanoma?

Depend on stage: Surgery is the only curative therapy for early stage melanoma (the 5- and 10-year survivals are: 97% and 95% for stage ia, 92 and 86% for stage ib, 81 and 67% for stage iia, 70 and 57% for stage iib, 78% and 68% for stage iiia, 59 and 43% for stage iiib, 40 and 24% for stage iiic). For stage IV or metastatic disease, cure is rare, and is seen mainly with immunotherapy such as high dose il2 or ipi. ...Read more

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What would be the best way to prevent melanoma?

What would be the best way to prevent melanoma?

Avoid sun: Avoid excess sun exposure, especially if you are fair skinned or burn easily. If you are in the sun, wear sun screen with high protection levels. Don't use tanning beds. ...Read more

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What are the best possible ways to prevent melanoma?

Sunscreen+avoidance: It is generally thought that the best way to prevent melanoma is to avoid excessive sun exposure and to use sunscreen. However those measures will not completely protect someone from developing melanoma, particularly if they have sun sensitive skin or a family history or skin cancer or melanoma. ...Read more

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What is the best treatment for typical malignant melanoma?

What is the best treatment for typical malignant melanoma?

Usually surgery: Assuming that the melanoma has not spread to other organs, the first treatment is to surgically remove the affected skin with a rim of normal skin. Then, certain patients will also need to have an operation to remove 1 or more lymph nodes depending on the spread. In select cases, melanoma that has spread to other organs is surgically removed. Other patients will need chemotherapy and radiation. ...Read more

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My father is ostensibly inflicted to melanoma. Could you give me an idea of the best treatment centers for melanoma in the world?

My father is ostensibly inflicted to melanoma. Could you give me an idea of the best treatment centers for melanoma in the world?

Several: Some of the best melanoma places are the national cancer institute (bethesda, md), md anderson cancer center (houston, tx), memorial sloan kettering cancer center (ny, ny), moffit cancer center (tampa, fl). In ohio, you are probably closer to ohio state university or cleveland clinic. However, these 2 programs are good but not well known for melanoma. ...Read more

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Which treatment for vaginal malignant melanoma stage 2c is the very best?

Which treatment for vaginal malignant melanoma stage 2c  is the very best?

No best treatment: Vaginal melanoma is considered mucosal disease and this type tends to spread via the blood to other organs in the body more readily. There is no known best treatment for stage iic. However, based on a recent study, chemotherapy with Cisplatin and temodar (temozolomide) every 3 weeks for 6 cycles are reasonable. However, enrolling in a clinical trial if available is the best option. ...Read more

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Derm noted 3 moles on back. All 3mm or under. One shade and pretty much round or oval. He said slightly dysplastic so best to remove now .. What does that mean ... Are they likely to be melanoma?

Derm noted 3 moles on back.  All 3mm or under.  One shade and pretty much round or oval.   He said slightly dysplastic so best to remove now ..   What does that mean ... Are they likely to be melanoma?

Never know: No one know for sure until a biopsy comes back, which provides definitive diagnosis. Melanoma often tends to be very dark. It sounds like you may have some "basic" lesions that just need to be evaluated further as recommended by your derm. Best wishes. ...Read more

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How long can you live with stage 4 metastatic melanoma with mets spread into the brain. What kind of treatment is best?

How long can you live with stage 4 metastatic melanoma with mets spread into the brain. What kind of treatment is best?

Radiation +/- surg: If there is only one or two brain metastasis it may be treated with surgery + radiation therapy. More than that number of brain mets usually treated with radiation alone. Disease in body may respond to targeted therapy (e.g. Zelboraf + Mekinist). Yervoy has also helped many. Prognosis depends on a large number of factors which I cannot assess. ...Read more

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74 year old father has melanoma, congestive heart failure and copd. What are the best forms of treatment?

74 year old father has melanoma, congestive heart failure and copd. What are the best forms of treatment?

Melanoma treatment: Surgical treatment is the best. Find a surgical oncologist, dermatologist or a plastic surgeon that can evaluate this asap. ...Read more

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Can melanoma pop up suddenly?

Yes: Any change whether it be size or color or texture of a pigmented skin lesion is suspect for melanoma. You should get anything that changes checked even if it is something that changed suddenly. ...Read more

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How quickly does melanoma grow?

It varies: What matters is how deep a given melanoma grows. Some tend to grow horizontally and do not spread. Others, stay small, but grow deep, and will spread quite quickly. If you have any concerns about a given spot, get it checked out. ...Read more

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Dr. Travis Kidner
2,633 doctors shared insights

Melanoma (Definition)

Cancer of the melanocyte cells. Melanocyte cells determine the color of your skin. Although these cells are primarily found in your skin, they can also be found in the bowel ...Read more


Dr. Jeffrey Wint
7 doctors shared insights