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Doctor insights on: Worst Intraocular Melanoma Symptom

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Which type of melanoma cares the worst prognosis ? Is it nodular o a melanotic melanoma ?

Which type of melanoma cares the worst prognosis ? Is it nodular o a melanotic melanoma ?

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

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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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Early stage glaucoma & moderate stage epiretinal membrane same eye not affecting vision much now. W/both diseases potential for central vision loss & peripheral vision loss causes anxiety. Prognosis?

Early stage glaucoma & moderate stage epiretinal membrane same eye not affecting vision much now. W/both diseases potential for central vision loss & peripheral vision loss causes anxiety. Prognosis?

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

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Is there possibility of bone metastasis occurring if primary carsinoma cancer, stage 1b, grade 2 of the breast full mastec recon sentinel nodes clear?

Is there  possibility of bone metastasis occurring if primary carsinoma cancer, stage 1b, grade 2 of the breast full mastec recon sentinel nodes clear?

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

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Is one optic nerve being bigger than the other a sign of glaucoma? Is eye pressure 20 & 17 a sign of glaucoma?

Is one optic nerve being bigger than the other a sign of glaucoma? Is eye pressure 20 & 17 a sign of glaucoma?

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

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Random partial vision loss in right eye. Is retinal detachment always a high possibility?

Random partial vision loss in right eye. Is retinal detachment always a high possibility?

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

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Potential for episodic mild central vertigo to be the lone presenting symptom of a brain tumor? Only symptom & dr wants CT/MRI. Neuro exam perfect.

Potential for episodic mild central vertigo to be the lone presenting symptom of a brain tumor? Only symptom & dr wants CT/MRI. Neuro exam perfect.

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

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Can anterior vitreous detachment occur before pvd? Does it reduce the retinal risks assoc with cataract surgery? Symptoms other than floaters?

Can anterior vitreous detachment occur before pvd? Does it reduce the retinal risks assoc with cataract surgery? Symptoms other than floaters?

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

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Is glaucoma, macular pucker or early Fuchs causing brief white out vision when driving in sun & then shade? diseases are in same eye & use monovision

Is glaucoma, macular pucker or early Fuchs causing brief white out vision when  driving in sun & then shade? diseases are in same eye & use monovision

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

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Advanced Macular pucker & stable glaucoma in 1 eye. 2nd eye mild ERM. What is prognosis for adequate vision. Concerned that both eyes have disease.

Advanced Macular pucker & stable glaucoma in 1 eye. 2nd eye mild ERM. What is prognosis for adequate vision. Concerned that both eyes have disease.

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

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Fluctuating unilateral eyebrow ptosis hx of Chiari & IIH can it be related? Myasthenia Gravis r/o what can cause this ptosis The drooping is bad

Fluctuating unilateral eyebrow ptosis hx of Chiari & IIH can it be related? Myasthenia Gravis r/o what can cause this ptosis   The drooping is bad

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

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Is having headache pain above one eye a sign of retinal detachment?

Is having headache pain above one eye a sign of retinal detachment?

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

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In right eye moderate glaucoma w/optic atrophy & moderate epiretinal membrane. Last 6 mos. colors washed out. Is this symptom of membrane or glaucoma?

In right eye moderate glaucoma w/optic atrophy & moderate epiretinal membrane.  Last 6 mos. colors washed out. Is this symptom of membrane or glaucoma?

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

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Early Fuchs dystrophy w/clear corneas, mild gutta, 20/20vision but high densitometry,glare, lights,depth perception. Dr says this combination unusual?

Early Fuchs dystrophy w/clear corneas, mild gutta, 20/20vision but high densitometry,glare, lights,depth perception. Dr says this combination unusual?

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

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. Louis Gallia
7 doctors shared insights