Section

General


Domains: Clinical practice, Communication

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Ocular surface and anterior chamber malignancies are rare but potentially serious diseases. Initial signs and symptoms may be insignificant. Therefore, the correct diagnosis and appropriate treatment are often delayed. This recorded webinar provides an overview of the most important malignancies and pre-malignancies of the ocular surface and anterior chamber and how to spot them and an update on the latest classification and terminology of such lesions.

The conditions covered are:

  • Conjunctival tumours
  • Epithelial
    • Solar elastosis
    • Squamous cell papilloma
    • Squamous cell intraepithelial neoplasia (CIN)
    • Squamous cell carcinoma (SCC)
  • Stromal
    • Reactive lymphoid hyperplasia
    • Malignant lymphoma
  • Melanocytic
    • Complex-associated conjunctival pigmentation
    • Conjunctival naevus
    • Conjunctival melanocytic intraepithelial neoplasia (CMIN)
    • Conjunctival melanoma
  • Anterior chamber tumours
    • Iris cysts
    • Iris naevus
    • Iris melanoma
    • Ciliary body melanoma

Anterior eye lesions are common in community practice and it is important that optometrists are confident making an accurate assessment and refer those that may indicate more serious conditions.

Last published: September 2023

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      Communication
         s.2 Communicate effectively with patients
          • Able to effectively explain and advise patients presenting with suspicious anterior eye lesions about their ocular condition and any follow-up or referral required.
            Clinical Practice 
              s.7 Conduct appropriate assessments, examinations, treatments and referrals
                • Able to differentially diagnose common lesions of the conjunctiva and anterior chamber and understand which can be monitored in practice and when referral is required. 
                  s.6 Recognise and work within, you limits of competence
                    • Able to recognise when a patient needs to be referred with anterior eye lesions that are suspicious of being malignant.

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                      • Chapter headings

                        1. Introduction 
                        2. Ocular centres in the UK
                        3. Part 1 – Tumours of the ocular surface 
                        4. Conjunctival tumours – Examination 
                        5. Pigmented conjunctival lesions
                        6. Epithelial conjunctival lesions
                        7. Stromal tumours
                        8. Conjunctival lymphoma
                        9. Conjunctival tumours in children 
                        10. Part 2 – Tumours of the anterior segment
                        11. Uveal melanoma – Iris
                        12. Ciliary body melanoma


                        Q&A

                        13. Question 1 - Should we be referring absolutely ALL new pigmented lesions and how quickly should we refer patients with new pigmented lesions?
                        14. Question 2 - How fast would a conjunctival melanoma grow?
                        15. Question 3 - How common are ocular surface lesions in children?
                        16. Question 4 - Why are nasal conjunctival melanomas higher risk compared to temporal?
                        17. Question 5 - When would a patient see a specialist?
                        18. Question 6 - Is surgical treatment generally the first course of action?

                        Please note that you can you use the chapter headings or markers on the video to return to a specific section if you can’t watch the recording in one sitting. 

                      • Reference

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