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* Blurred vision
* Blurred vision
* Floaters
* Floaters
** Age: The mean age for uveal melanoma is 55 years old and its incidence drops after 70 years of age.<ref name="EganSeddon1988">{{cite journal|last1=Egan|first1=Kathleen M.|last2=Seddon|first2=Johanna M.|last3=Glynn|first3=Robert J.|last4=Gragoudas|first4=Evangelos S.|last5=Albert|first5=Daniel M.|title=Epidemiologic aspects of uveal melanoma|journal=Survey of Ophthalmology|volume=32|issue=4|year=1988|pages=239–251|issn=00396257|doi=10.1016/0039-6257(88)90173-7}}</ref><ref name="NCI">Uveal melanoma. National Cancer Institute(2015) http://www.cancer.gov/types/eye/hp/intraocular-melanoma-treatment-pdq Accessed on October 24 2015</ref><ref name="vanKoopmans2013">{{cite journal|last1=van|first1=J.G.M.|last2=Koopmans|first2=A.E.|last3=Verdijk|first3=R.M.|last4=Naus|first4=N.C.|last5=de|first5=A.|last6=Kilic|first6=E.|title=Diagnosis, Histopathologic and Genetic Classification of Uveal Melanoma|year=2013|doi=10.5772/53631}}</ref>
** Male gender
** Race: Whites are more commonly affected by uveal melanoma than blacks.
** Genetic
** Ocular nevi<ref name="Reese1944">{{cite journal|last1=Reese|first1=Algernon B.|title=Pigment Freckles of the Iris (Benign Melanomas): Their Significance in Relation to Malignant Melanoma of the Uvea⋆|journal=American Journal of Ophthalmology|volume=27|issue=3|year=1944|pages=217–226|issn=00029394|doi=10.1016/S0002-9394(44)91382-6}}</ref>
** Hormones: Pregnancy may increase the incidence of uveal melanoma.<ref name="Siegel1963">{{cite journal|last1=Siegel|first1=Ralph|title=Malignant Ocular Melanoma During Pregnancy|journal=JAMA: The Journal of the American Medical Association|volume=185|issue=6|year=1963|pages=542|issn=0098-7484|doi=10.1001/jama.1963.03060060140028}}</ref>
** Impaired immune system<ref name="FisherKripke1982">{{cite journal|last1=Fisher|first1=M.|last2=Kripke|first2=M.|title=Suppressor T lymphocytes control the development of primary skin cancers in ultraviolet-irradiated mice|journal=Science|volume=216|issue=4550|year=1982|pages=1133–1134|issn=0036-8075|doi=10.1126/science.6210958}}</ref>
** light colored-irides<ref>{{cite journal|title=Risk Factors for Ocular Melanoma: Western Canada Melanoma Study<xref ref-type="fn" rid="FN1">2</xref><xref ref-type="fn" rid="FN2">3</xref>|journal=JNCI: Journal of the National Cancer Institute|year=1985|issn=1460-2105|doi=10.1093/jnci/74.4.775}}</ref>
** Sunlight exposure<ref name="TuckerShields1985">{{cite journal|last1=Tucker|first1=Margaret A.|last2=Shields|first2=Jerry A.|last3=Hartge|first3=Patricia|last4=Augsburger|first4=James|last5=Hoover|first5=Robert N.|last6=Fraumeni|first6=Joseph F.|title=Sunlight Exposure as Risk Factor for Intraocular Malignant Melanoma|journal=New England Journal of Medicine|volume=313|issue=13|year=1985|pages=789–792|issn=0028-4793|doi=10.1056/NEJM198509263131305}}</ref>
** Trauma<ref name="BabaBlumenkranz1986">{{cite journal|last1=Baba|first1=F. E.|last2=Blumenkranz|first2=M.|title=Malignant Melanoma at the Site of Penetrating Ocular Trauma|journal=Archives of Ophthalmology|volume=104|issue=3|year=1986|pages=405–409|issn=0003-9950|doi=10.1001/archopht.1986.01050150105038}}</ref>
**
**
=== Less Common Risk Factors ===
* Less common risk factors in the development of uveal melanoma include:
** Melanocytosis<ref name="BeralShaw1982">{{cite journal|last1=Beral|first1=Valerie|last2=Shaw|first2=Helen|last3=Evans|first3=Susan|last4=Milton|first4=Gerald|title=MALIGNANT MELANOMA AND EXPOSURE TO FLUORESCENT LIGHTING AT WORK|journal=The Lancet|volume=320|issue=8293|year=1982|pages=290–293|issn=01406736|doi=10.1016/S0140-6736(82)90270-7}}</ref>
** Fluorescent lighting
** Viruses (togavirus)


==Symptoms==
==Symptoms==

Revision as of 14:50, 20 June 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]

Overview

Symptoms of uveal melanoma include eye pain, eye redness, loss of peripheral vision, poor or blurry vision in one eye, a dark spot on the iris, flashing lights, floaters, and symptoms of glaucoma.[1]

History

Patients with uveal melanoma may have a positive history of:

  • Pre-existing iris nevus which increased in size
  • Eye pain
  • Visual loss
  • Blurred vision
  • Floaters
    • Age: The mean age for uveal melanoma is 55 years old and its incidence drops after 70 years of age.[2][3][4]
    • Male gender
    • Race: Whites are more commonly affected by uveal melanoma than blacks.
    • Genetic
    • Ocular nevi[5]
    • Hormones: Pregnancy may increase the incidence of uveal melanoma.[6]
    • Impaired immune system[7]
    • light colored-irides[8]
    • Sunlight exposure[9]
    • Trauma[10]

Less Common Risk Factors

  • Less common risk factors in the development of uveal melanoma include:
    • Melanocytosis[11]
    • Fluorescent lighting
    • Viruses (togavirus)

Symptoms

Clinical presentation depends on the location. When the tumor is located on the iris then it may be apparent to the patient or friends and family as a brown nodule. Choroidal or ciliary body tumors are only identified incidentally on fundoscopy or as a result of retinal detachment or advanced disease.[12] The majority of patients with uveal melanoma are symptomatic at the time of diagnosis, but up to 30% patients could be asymptomatic. Many cases of uveal melanoma are found during routine eye examination. Common symptoms of uveal melanoma include:[1]

References

  1. ↑ 1.0 1.1 Jovanovic P, Mihajlovic M, Djordjevic-Jocic J, Vlajkovic S, Cekic S, Stefanovic V (2013). "Ocular melanoma: an overview of the current status". Int J Clin Exp Pathol. 6 (7): 1230–44. PMC 3693189. PMID 23826405.
  2. ↑ Egan, Kathleen M.; Seddon, Johanna M.; Glynn, Robert J.; Gragoudas, Evangelos S.; Albert, Daniel M. (1988). "Epidemiologic aspects of uveal melanoma". Survey of Ophthalmology. 32 (4): 239–251. doi:10.1016/0039-6257(88)90173-7. ISSN 0039-6257.
  3. ↑ Uveal melanoma. National Cancer Institute(2015) http://www.cancer.gov/types/eye/hp/intraocular-melanoma-treatment-pdq Accessed on October 24 2015
  4. ↑ van, J.G.M.; Koopmans, A.E.; Verdijk, R.M.; Naus, N.C.; de, A.; Kilic, E. (2013). "Diagnosis, Histopathologic and Genetic Classification of Uveal Melanoma". doi:10.5772/53631.
  5. ↑ Reese, Algernon B. (1944). "Pigment Freckles of the Iris (Benign Melanomas): Their Significance in Relation to Malignant Melanoma of the Uvea⋆". American Journal of Ophthalmology. 27 (3): 217–226. doi:10.1016/S0002-9394(44)91382-6. ISSN 0002-9394.
  6. ↑ Siegel, Ralph (1963). "Malignant Ocular Melanoma During Pregnancy". JAMA: The Journal of the American Medical Association. 185 (6): 542. doi:10.1001/jama.1963.03060060140028. ISSN 0098-7484.
  7. ↑ Fisher, M.; Kripke, M. (1982). "Suppressor T lymphocytes control the development of primary skin cancers in ultraviolet-irradiated mice". Science. 216 (4550): 1133–1134. doi:10.1126/science.6210958. ISSN 0036-8075.
  8. ↑ "Risk Factors for Ocular Melanoma: Western Canada Melanoma Study<xref ref-type="fn" rid="FN1">2</xref><xref ref-type="fn" rid="FN2">3</xref>". JNCI: Journal of the National Cancer Institute. 1985. doi:10.1093/jnci/74.4.775. ISSN 1460-2105.
  9. ↑ Tucker, Margaret A.; Shields, Jerry A.; Hartge, Patricia; Augsburger, James; Hoover, Robert N.; Fraumeni, Joseph F. (1985). "Sunlight Exposure as Risk Factor for Intraocular Malignant Melanoma". New England Journal of Medicine. 313 (13): 789–792. doi:10.1056/NEJM198509263131305. ISSN 0028-4793.
  10. ↑ Baba, F. E.; Blumenkranz, M. (1986). "Malignant Melanoma at the Site of Penetrating Ocular Trauma". Archives of Ophthalmology. 104 (3): 405–409. doi:10.1001/archopht.1986.01050150105038. ISSN 0003-9950.
  11. ↑ Beral, Valerie; Shaw, Helen; Evans, Susan; Milton, Gerald (1982). "MALIGNANT MELANOMA AND EXPOSURE TO FLUORESCENT LIGHTING AT WORK". The Lancet. 320 (8293): 290–293. doi:10.1016/S0140-6736(82)90270-7. ISSN 0140-6736.
  12. ↑ Retinoblastoma. Radiopedia(2015) http://radiopaedia.org/articles/primary-uveal-malignant-melanoma Accessed on October 21, 2015

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