Essential Eye Cancer Podcast-logo

Essential Eye Cancer Podcast

Health & Wellness Podcasts

Welcome to the Essential Eye Cancer Podcast with Dr. Paul Finger. Dr. Finger is an internationally recognized eye cancer specialist offering excellence in ophthalmic oncology care. He is Director of The New York Eye Cancer Center and author of the web site eyecancer.com. He has authored over 300 scientific articles, invented new methods for eye cancer diagnosis and treatment and always strives for excellence in his patient’s care. The following PodCast is presented to teach you about a unique aspect of eye cancer care. This information reflects Dr. Fingers' research, teaching, and experience caring for patients over the last 35 years.

Welcome to the Essential Eye Cancer Podcast with Dr. Paul Finger. Dr. Finger is an internationally recognized eye cancer specialist offering excellence in ophthalmic oncology care. He is Director of The New York Eye Cancer Center and author of the web site eyecancer.com. He has authored over 300 scientific articles, invented new methods for eye cancer diagnosis and treatment and always strives for excellence in his patient’s care. The following PodCast is presented to teach you about a unique aspect of eye cancer care. This information reflects Dr. Fingers' research, teaching, and experience caring for patients over the last 35 years.

Location:

United States

Description:

Welcome to the Essential Eye Cancer Podcast with Dr. Paul Finger. Dr. Finger is an internationally recognized eye cancer specialist offering excellence in ophthalmic oncology care. He is Director of The New York Eye Cancer Center and author of the web site eyecancer.com. He has authored over 300 scientific articles, invented new methods for eye cancer diagnosis and treatment and always strives for excellence in his patient’s care. The following PodCast is presented to teach you about a unique aspect of eye cancer care. This information reflects Dr. Fingers' research, teaching, and experience caring for patients over the last 35 years.

Language:

English


Episodes

Conjunctival Tumors Overview - EEC035

10/26/2020
Tumors and cancers commonly occur on the conjunctiva and often grow onto the corneal surface. Both conjunctival melanoma and squamous carcinoma have been associated with sun (ultraviolet UV-ray) exposure, so Dr. Finger says, "Think of Sunglasses as Sunblock for your Eyes.®" Commonly treated with observation for growth, surgical removal or a combination of surgery and freezing "cryotherapy," over the last 10 years more and more patients are treated with immunotherapy or chemotherapy eye...

Duration:00:16:42

Large Clinical Trials Won't Change Physics - EEC034

10/5/2020
This Podcast takes a closer look at what I do to maximize eye radiation outcomes and minimize patient risk. Until we have a treatment for metastatic ocular melanoma, destruction of the intraocular tumor will be the best way to prevent and thus "treat" metastasis. Across the world, each eye cancer center has its own radiation methods to destroy choroidal melanomas. However, a closer look at the methods of plaque selection and implementation reveals significant differences. This Podcast...

Duration:00:12:47

Super-Thick Amniotic Membrane Grafts - EEC033

9/28/2020
This Podcase discusses a technique I introduced to ophthalmic oncology. Sometimes, when eye cancer specialists have to remove a large tumor from the surface of the eye, we created a large tissue-defect on its surface. The surgeon cannot leave it grow on its own because the eyelid can scar and stick to the eyeball (called symblepharon). This scarring can hamper the movement of the eye and doesn't look normal. So, decades ago, I used to borrow some mucus membrane tissue from the inside of the...

Duration:00:07:33

Iris Tumors - EEC032

9/14/2020
Iris tumors are visible. Patients see them in the mirror and eye care specialists view them through the clear cornea. We use specialized ultrasound (UBM) and anterior segment OCT tests to reveal the contents, distribution, and size of these tumors. Most are benign and thus can be observed for growth prior to intervention. Others are either clinically diagnosed and treated or undergo biopsy. We review the differences between biopsy methods. In this Podcast, we will explore iris tumors, their...

Duration:00:15:57

Partial Sclerouvectomy PSLU Endoresection or Surgical Removal for Uveal Melanoma - EEC031

8/31/2020
Cancer textbooks tell us to remove or destroy primary cancers to prevent spread (metastasis) to other parts of the body. In the 1950s, most eyes with choroidal melanoma were removed. Some small anterior choroidal, ciliary body and iris melanomas were locally resected. However, The multicenter, international, Collaborative Ocular Melanoma Study taught us that removal of the eye was not necessary for moderately sized choroidal melanomas. That eye and vision sparing plaque radiation therapy was...

Duration:00:12:31

Vascular Tumors within the Eye - EEC030

8/24/2020
There are many different types of vascular tumors within the eye. In the uvea or vascular layer beneath the retina, there occur both circumscribed and diffuse hemangiomas. The latter or diffuse variant is commonly associated with the congenital neurologic disorder Sturge-Weber Syndrome (encephalotrigeminal angiomatosis). It is associated with Port-Wine skin coloration, glaucoma, seizures, intellectual disability, and ipsilateral leptomeningeal angiomas. Within the eye, both circumscribed and...

Duration:00:12:08

Basic Eyelid Tumors II Treatment Overview - EEC029

8/10/2020
Tumors and cancers commonly occur on the eyelids. Once the clinical or pathologic diagnosis is established it is time to consider treatment. Eye cancer specialists will recommend either removal or destruction of the eyelid cancer. Depending on the type, size, and location of the tumor, different surgical or treatment strategies will be used. These treatments can range from simple surgical excision of the tumor and margins or Moh's microsurgical resection, typically followed by oculoplastic...

Duration:00:06:06

Basic Eyelid Tumors Diagnostic Overview - EEC028

8/3/2020
Tumors and cancers commonly occur on the eyelids. Most have been associated with sun (ultraviolet UV-ray) exposure. The most common eyelid cancer is basal cell carcinoma, but squamous carcinoma, sebaceous carcinoma, and melanoma can occur. If the tumor doesn't have a classic, diagnostic appearance, a small biopsy for pathology evaluation may be needed. This podcast describes the clinical characteristics of these tumors, how they grow, and even spread to other parts of the body. Paul T....

Duration:00:08:03

The Nevus of Ota and Ocular Melanosis - EEC027

7/27/2020
Oculodermal melanocytosis or the Nevus of Ota means that there are increased numbers of cells called melanocytes in the eyelid skin, sclera and uveal vascular layer of the eye. Typically presenting at birth, it can increase during puberty and pregnancy. The pigmentation can follow the distribution of the trigeminal nerve and can therefore extend to the palate. The pigmentation and be complete or partial. When the eye is affected alone, it is called ocular melanosis. The increased numbers of...

Duration:00:05:42

Guidelines (ABS-AAPM) for Eye Plaque Radiation Therapy for Melanoma and Retinoblastoma - EEC026

7/13/2020
In 2014, the first multicenter, international consensus guidelines for ophthalmic plaque radiation therapy was "open access" published in the journal "Brachytherapy." Dr. Finger was selected to Chair the Ophthalmic Oncology Task Force which he assembled to discuss, survey, and create these guidelines. In total, this committee included 47 eye cancer specialists from 10 countries. In this Podcast, Dr. Finger summarizes their most important findings. Paul T. Finger, MD, FACS The New York Eye...

Duration:00:24:25

Lasers, Lasers, and More Lasers for Choroidal Melanoma - EEC025

7/6/2020
Lasers have long been used to treat eye diseases. Though largely unsuccessful as primary treatment for intraocular cancers, laser continues to play an important role in ophthalmic oncology care. This podcast presents the history of ophthalmic laser treatment as well as a disease by disease analysis of its efficacy. Herein, is described its use to successfully treat subretinal neovascularization, exudative retinal detachment, retinoblastoma, and retinal capillary hemangioma. Clearly, laser...

Duration:00:19:47

Radiation Therapy for Orbital Tumors (Part II) - EEC024

6/29/2020
Orbital radiation therapy has long provided eye and vision sparing treatments for patients with benign and malignant tumors. These include tumors that originate in the orbit and those that extend from the central nervous system, skin, sinuses, and conjunctiva. Each tumor is characterized by an inherent radiation sensitivity. Each orbital location will require a customized approach. However, there exists a multitude of radiation modalities for each purpose. Careful source selection based on...

Duration:00:15:28

General Orbital Radiation for Ophthalmologists (Part I) - EEC023

6/22/2020
There exists a multitude of radiation modalities used to treat ocular, orbital, and adnexal tumors. Each type of radiation machine or method has a characteristic pattern of dose distribution within the eye and orbit. The specific pattern and amount of radiation dose delivered to the eye and orbit can be used to predict radiation-related side-effects. Therefore, some methods are better than others. This podcast provides an overview of radiation sources and explains their differences from an...

Duration:00:15:11

AJCC Staging, The UICC, Ophthalmic Oncology Research and Clinical Care - EEC022

6/15/2020
The American Joint Committee on Cancer along with the International Union for Cancer Care have long supported the use of a standard language to define patients with cancer. The 7th and 8th editions of the AJCC-UICC staging systems have now been adopted and function to improve eye cancer research and clinical care. The major ophthalmic journals now require its use for research publications as to allow them to be compared and or combined in multivariate analysis. The largest ophthalmic...

Duration:00:11:01

Orbital Radiation Therapy Boost - EEC021

6/8/2020
There exist many different types of orbital cancers. Typically diagnosed by biopsy, few can be completely removed. In these cases, radiation therapy offers a method to treat residual and even clinically undetectable microscopic left over tumor cells. Most of these orbital cancers can be safely cured with relatively low dose radiation that is easily tolerated by the eye. In those cases, the tumor is cured and the eye continues to function. These patient need to be monitored with periodic eye...

Duration:00:13:03

Plaque Versus Proton - EEC020

6/1/2020
Many kinds of radiation have been used to treat choroidal melanoma. However, they can be divided into two main categories, implanted radiation plaques and externally administered radiation beams. While the most common radiation plaques include: ruthenium-106, iodine-125 and palladium-103, external beam is dominated by proton therapy. The literature suggests that both plaques and proton beam can be used to destroy intraocular tumors. However, they are very different in their radiation dose...

Duration:00:12:16

Second Opinions - EEC019

5/25/2020
One of the most difficult subjects is second opinions. Dr. Finger says, "second opinions are great as long as both doctors agree." When they don't, sometimes they create more problems than expected. So, what is the patient to do when their two opinions don't agree? Typically, the patient will want a second opinion because they didn't like what they heard from the first opinion. Second, albeit less commonly, they want confirmation of the first opinion. Lastly, they have a relative who wants...

Duration:00:09:19

Office Visual Aids help Patients Understand their Problem and Probably Outcomes - EEC018

5/18/2020
This podcast describes the methods used at The New York Eye Cancer Center to show and thus teach patients about their disease, need for treatment and probable outcomes (for sight and life). For example, each examination room has a 55" 4K screen to display clinical photographs of tumors, radiation side effects and 3D OCT images of inside the eye. Images of important photographs and figures from publications are framed and displayed to show risk of tumor spread and methods of treatment. Model...

Duration:00:09:32

Radiation Optic Neuropathy - EEC017

5/11/2020
Though the optic nerve is a relatively radiation-resistant tissue; both plaque and external beam irradiation for eye cancer can cause radiation optic nerve damage. Divided by location, anterior radiation optic neuropathy and radiation papillitis has been most commonly seen after plaque and proton beam therapy. In contrast, posterior radiation optic neuropathy can be seen after external beam radiation therapy for orbital, sinus and brain tumors. Posterior radiation optic neuropathy is best...

Duration:00:08:57

Muscles, Muscles, Muscles… Improving Local Control - EEC016

5/4/2020
The best way to prevent metastatic melanoma is to destroy the primary intraocular cancer during the first treatment. Dr. Finger explains why the American Brachytherapy Societry Eye Plaque Guidelines defines normal plaque placement as covering the entire tumor and at least a 2-3 mm free margin of normal-appearing tissue. In order to make sure that happens, it is important to make sure all the muscles on the outside of the eye are temporarily moved away from the plaque. Simply, the radiation...

Duration:00:12:15