Doctor insights on:
Best Intraocular Melanoma Program
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 moreSee 1 more doctor answer
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
Best institution for experimental protocol to add to nexavar (sorafenib) for metastatic HCC - 34 yo Asian male, s/p omental resection?
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Is it advised to get laser for retinal lattice (with very small holes and insignificant traction) before undergoing wavefront lasik to correct myopia?
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
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
If parent w/glaucoma is resistant to treatment of drops & laser lowering eye pressure, will daughter w/glaucoma inherit resistance to treatment?
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
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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
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 moreSee 7 more doctor answers
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 moreSee 1 more doctor answer
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
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
My dr did a shave biopsy for suspect melanoma today. Now reading shave not the best biopsy because now we won't know how deep it is. Is that true?
Shave Bx/melanoma: I recommend incisional bx for depth determination. ...Read more
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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
74 year old father has melanoma, congestive heart failure and copd. What are the best forms of treatment?
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