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Doctor insights on: Worst Intraocular Melanoma Symptom

Nodular melanoma: Three of the four types of melanoma remain superficial in the epidermis and grow RADIALLY (laterally), often for several years, before entering the VERTICAL GROWTH PHASE where they grow downward and invade the dermis with the potential to metastasize. The fourth type of melanoma is nodular melanoma which STARTS in the vertical growth phase and can metastasize from the outset. ...Read more

The risk is very low: An epiretinal membrane is a common finding in 60 y/o female and typically remain visually insignificant. If it becomes visually significant, surgical treatment is very successful. Mild glaucoma is very treatable, and with appropriate followup and treatment, peripheral vision loss can be prevented. Central loss is extremely rare. ...Read more

Unlikely but poss.: Prognosis of small stage i intermediate grade tumor is favorable esp . Er+. For er- (triple neg or her2+) tumors a bit worse but still favorable in stage i. Recurrence (local or distant) is not unheard of. While lymphatic/nodal spread is the most common, there are other ways for tumors to spread. Also while most sent. Nodes are in the axilla, tumor can drain elsewhere (supra clav, int mammary). ...Read more

Excellent: Your prognosis is excellent as long as you follow your doctor's advise. ...Read more

Its a risk factor: Asymmetry of the optic nerve between eyes is one known red flag for potential glaucoma. Also a slightly elevated eye pressure in the eye with more "cupping" can be another risk factor. It will be best to have each eye evaluated in an exam with a visual field test and possibly photos of the nerve to evaluate how healthy it is. It made need treatment or just close observation. Good luck! ...Read more

It depends: Vision loss can be due to a number of factors, including retinal detachment. In iowa city, iowa you are fortunate to be close to one of the nation's top eye departments. Get evaluated and find out what the cause of your vision loss is. ...Read more

Possibly : Vertigo can have many reasons the most common being BPV : benign positional vertigo ... Obtaining MRI or CT to rule out other causes such as tumor etc is a wise idea specially if the vertigo is significant and has lasted a while .. ...Read more

Yes: But eye related is more likely. I suggest setting up an appointment with an ophthalmologist soon. ...Read more

Need eye exam.: Your problems are best evaluated by an eyemd. They are too complex to answer without a comprehensive exam. ...Read more

Yes: You will most likely be able to be controlled medically. Your chances of not losing vision from glaucoma are very good. Make sure you are compliant with your medication. ...Read more

Vitreous detachment: May occur at the level of the anterior retina adjacent to an area called the ora serrata. The vitreous may delaminate from the retina at any location, meaning either posterior or anterior at anytime either from trauma or idiopathic. If the vitreous is already detached from the retina, then the risks of a retinal detachment is theoretically reduced. ...Read more

3 different problems: Fuchs is weakness of the front cornea. Glaucoma is a disease where too much pressure damages the vision. Macular pucker is damage to the retina/macula.. KISS...See the ophthalmologist...Get your answers ASAP.. Keep us posted... Dr.Sibley ...Read more

Close follow up: Macular pucker can occur as a consequence of spontaneous pucker. There are procedures that can be done to help eliminate this but they carry some risk so usually the retinal surgeons who do this will wait for a level of lowered vision that is significant or note progression as a reason to intervene. The glaucoma is a separate issue for both eyes. These conditions should be closely monitored. ...Read more

More information: Myasthenia can cause ptosis but on other spectrum from these other disorders mentioned. I would be curious to know if you have any surgery for the chiari? Something as simple as bells palsy can cause drooping as well. If this is a new and sudden symptoms, then you should seek care. ...Read more

Possibly migraines: Could be migraines as well. If everything normal on eye exam, would get evaluated by pcp. ...Read more

No : These are common with age but should be evacuated by an ophthalmologist. ...Read more

No pain with RD: Signs of rd are those seen by examining eye doctor: subretinal fluid, retinal tear, pigment cells in vitreous, and pvd. The symptoms that a patient experiences are painless progressive loss or greying; of vision which may involve the central vision. This may be proceeded by flashes and floaters. Sometimes an rd can by asymptomatic, and therefore it is important to get checked. ...Read more

Glaucoma likely: Epiretinal membranes cause distortion of the vision but don't usually alter color sensitivity as a rule. Glaucoma causes a loss of photoreceptor sensitivity and as these disappear, the color can be diminished. So glaucoma is more likely the cause of your color washout. ...Read more

Fuchs dystrophy: Can cause significant glare though vision is still 20/20. Depending on specifics, your symptoms (in addition to h/o of glaucoma & ERM) are possible. See eyedoc2020@blogspot.com for references on Fuchs. ...Read more

At 29 years old: The main cause of glare is dryness. Very uncommon to have vitreous cause glare or cataracts for that matter. ...Read more

Zero or vision loss.: ...If it progress to retinal detachment.

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

Definition: A melanoma inside the eye.

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

Use ABCDE RULE: It's best to see a dermatologist but a good rule of thumb is the abcd guidelines a=asymmetry of lesion b=border is irregular c=colors are multiple and not consistent d=diameter is greater than 6mm e=evolution of lesion with changes and enlargement. ...Read more

Malignant Melanoma: Aad malignant melanoma screening: asymmetry: 1 half is unlike the other. Border: irregular, scalloped or poorly defined. Color: varied with shades of tan, brown or black; or white, red or blue. Diameter: > 6 mm. Evolving: mole /skin lesion looks different from the rest or is changing in size, shape or color. An irregular mole that itches, bleeds or is painful is worrisome for possible cancer. ...Read more

Lymph nodes.: The main thing in stage iii melanoma in anyone is that there are palpable lymph nodes in the vicinity of the tumor/melanoma. It has a 50% 5 year survival if only one node is involved and a 15-20% 5 year survival if 4 or more nodes are involved. Survival is improved with interferon-alpha treatment. Chemotherapy and immunotherapy may alsso help. Please see your doctor for the best treatment plan. ...Read more

Varies: Many melanomas are without symptoms. Some are itchy, irritated, or may bleed. They have often changed shape, size or color, but these changes are usually asymptomatic. If the melanoma has spread, there are multiple other symptoms that could possibly occur. ...Read more

Depends: The most common symptom would be no symptoms at all. Metastatic melanoma is often picked up on imaging. Symptoms can occur depending on the location of the lesions. Neurological symptoms for brain mets, bleeding or obstruction for GI mets, possible pulmonary symptoms for lung mets. ...Read more

ABCD's: Remember your abcd's when thinking of melanoma. Look for moles with asymmetry boarders that are irregular color differences within the same mole diameter greater than 6mm also any new mole or old that starts to itch, bleed or ulcerate should be of concern. Another rule is the ugly duckling rule. Which refers to a mole that looks distantly different from the others on your body. ...Read more

Skin mole: Melanoma doesn't usually hurt or cause symptoms. Sometimes it itches or bleeds easily. If it is very large it can cause pain. If it has spread to other organs it can also cause symptoms. But if it is small and just on the back, it doesn't cause much in the line of symptoms. Visit your doctor to talk about your options to determine if it really is melanoma (punch biopsy or shave biopsy). ...Read more

Depends: The most common symptom would be no symptoms at all. Metastatic melanoma is often picked up on imaging. Symptoms can occur depending on the location of the lesions. Neurological symptoms for brain mets, bleeding or obstruction for GI mets, possible pulmonary symptoms for lung mets. ...Read more

Nodular melanoma: Three of the four types of melanoma remain superficial in the epidermis and grow RADIALLY (laterally), often for several years, before entering the VERTICAL GROWTH PHASE where they grow downward and invade the dermis with the potential to metastasize. The fourth type of melanoma is nodular melanoma which STARTS in the vertical growth phase and can metastasize from the outset. ...Read more

Variable: The symptoms are quite variable depending on the organs affected by the metastases. Similarly the appearance of the lesions also varies, and not all lesions have pigment. See this site for more info. http://www.mayoclinic.org/diseases-conditions/melanoma/basics/definition/con-20026009 ...Read more

Nevus: You likely have a nevus or freckle either genetic or due to a previous injury; extremely unlikely to be melanoma. See MD if concerned. ...Read more

Why this question?: By definition, amelanotic means no melanin, not brown or blue or black. Hutchinson's sign refers to a color change of black or brown from the nail into the adjacent skin. Amelanotic melanoma has no such color. Treatment consists initially of complete amputation of the toe. ...Read more

Skin exam &biopsy: Melanoma is diagnosed by performing a complete skin exam and by taking a sample (biopsy) of the suspicous areas. The skin biopsy is then examined under a microscope to determine if it is melanoma. See the picture to find out what typical melanoma moles look like. ...Read more

ABCD's: Remember your abcd's when thinking of melanoma. Look for moles with asymmetry boarders that are irregular color differences within the same mole diameter greater than 6mm also any new mole or old that starts to itch, bleed or ulcerate should be of concern. Another rule is the ugly duckling rule. Which refers to a mole that looks distantly different from the others on your body. ...Read more

See your doc: If you are worried about a possible skin lesion being melanoma, you should see your friendly dermatologist as soon as possible. ...Read more

Malignant Melanoma.: AAD Malignant Melanoma screening: ASYMMETRY: 1 half is unlike the other. BORDER: irregular, scalloped or poorly defined. COLOR: varied with shades of tan, brown or black; or white, red or blue. DIAMETER: > 6 mm. EVOLVING: mole /skin lesion looks different from the rest or is changing in size, shape or color. An irregular mole that itches, bleeds or is painful is worrisome for possible cancer. ...Read more