Retinal Melanoma: Symptoms, Treatment, and Eye Care Tips

Retinal melanoma

About seven years ago, I underwent laser surgery for my myopia, which was around 600 degrees at that time.
Recently, I went to the hospital for a fundus examination, and the doctor informed me that there is a melanoma located beneath the retina in my right eye.
He mentioned that it is not very small and not flat.
Currently, the doctor has not taken any action and suggested monitoring it to see if it grows.
It is not affecting my vision at the moment, although I occasionally experience symptoms similar to flashes of light or floaters when I am physically fatigued, but generally, I do not have these symptoms.
I would like to ask: *My eyes tend to be drier, and I have been in a drier environment abroad for an extended period.
Would using artificial tears or eye drops have any impact on this condition? I mostly use Allergan Eye Drops; do you have any recommended over-the-counter artificial tears or eye drops? Are there any eye drops that you would advise against using?* A few months ago, I accidentally got hot oil splashed into my eye, which was very painful, and I immediately rinsed it with cold water for a long time.
Since there were no other symptoms the next day and my vision was unaffected, I did not see a doctor.
Is it possible that the situation or scarring I experienced was due to the burn at that time? (I didn’t think to ask about this during the consultation, as I was overwhelmed by the mention of melanoma.) Is it possible that this will not affect my vision in the future? Thank you for your response.

Angi, 30~39 year old female. Ask Date: 2017/09/26

Dr. He Jianxian reply Ophthalmology

1.
The quality of commercially available artificial tears is generally acceptable.
You can try different brands to see which one suits you best.
Artificial tears are designed for long-term use, so they are not likely to cause problems.

2.
A burn is a superficial issue and is not related to choroidal melanoma.
If your melanoma is not flat, it is advisable to consult a retinal specialist for further examination and monitoring.

Reply Date: 2017/09/26

More Info

Retinal melanoma, also known as uveal melanoma when it occurs in the uveal tract of the eye, is a rare but serious condition that requires careful monitoring and management. Understanding the symptoms, treatment options, and eye care tips is crucial for anyone diagnosed with this condition.

Symptoms of Retinal Melanoma
Retinal melanoma may not always present noticeable symptoms in its early stages. However, as the tumor grows, patients may experience:
1. Visual Disturbances: This can include blurred vision, flashes of light (often described as "lightning" or "flashing lights"), and the appearance of floaters or "flying spots" in the field of vision.

2. Changes in Vision: Some patients may notice a gradual decline in vision or distortion in their visual field.

3. Physical Changes: In some cases, the eye may appear to have a dark spot or discoloration, particularly if the melanoma is located on the surface of the eye.

In your case, you mentioned experiencing occasional flashes of light and fatigue, which can be associated with retinal issues. It’s important to keep track of any changes in your vision and report them to your eye care specialist.

Treatment Options
The treatment for retinal melanoma depends on several factors, including the size and location of the tumor, as well as the overall health of the patient. Common treatment options include:
1. Observation: If the melanoma is small and not affecting vision, your doctor may recommend regular monitoring through follow-up appointments and imaging tests to check for growth.

2. Radiation Therapy: This is often used for tumors that are not amenable to surgical removal. Techniques such as plaque brachytherapy involve placing a radioactive source close to the tumor to minimize damage to surrounding tissues.

3. Surgery: In some cases, surgical intervention may be necessary. This could involve removing the tumor or, in more severe cases, enucleation (removal of the eye).

4. Laser Therapy: Laser treatments can be used to destroy tumor cells or to help manage symptoms.

Eye Care Tips
Given your history of dry eyes and the recent diagnosis of retinal melanoma, here are some eye care tips that may help:
1. Use Artificial Tears: Since you mentioned using Allergan Eye Drops, these can help alleviate dryness. Look for preservative-free options, especially if you are using them frequently. Brands like Systane, Refresh, and TheraTears are also well-regarded.

2. Stay Hydrated: Ensure you are drinking enough water, as hydration can impact eye moisture.

3. Limit Screen Time: If you spend long hours in front of screens, take regular breaks using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

4. Protect Your Eyes: Wear sunglasses that block UV rays when outdoors, as UV exposure can exacerbate eye issues.

5. Consult Your Doctor: If you experience any new symptoms, such as increased floaters, flashes of light, or changes in vision, contact your eye care professional immediately.

Addressing Your Concerns
Regarding your question about the potential impact of dry eyes on your retinal melanoma, using artificial tears should not negatively affect the melanoma itself. However, it is essential to avoid any eye drops that contain preservatives if you are using them frequently, as these can sometimes irritate the eyes further.

As for the incident with hot oil, while immediate flushing with water is the correct first aid response, it is advisable to have any eye injury evaluated by a healthcare professional, even if you do not notice immediate symptoms. Scarring or damage may not be apparent right away, and follow-up assessments can help ensure that your vision remains unaffected in the long term.

In conclusion, managing retinal melanoma involves regular monitoring and appropriate treatment based on the tumor's characteristics. Maintaining eye health through hydration, proper eye care, and regular check-ups with your eye specialist is crucial. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice.

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