About Choroidal Metastasis
Patients with a diagnosis of any malignant tumor or cancer can develop metastases, or tumor cells, that spread to other organs. The eye is a common site of metastasis for other cancers. Metastases most commonly develop in the choroid, the vascular layer at the back of the eye, but can also rarely develop in the iris, ciliary body, vitreous, or retina. Cancer cells typically travel from the original cancer site to the eye via the bloodstream.
When you choose Retina Consultants of Houston (in any of our area locations), you will receive your ocular oncology care from our oncology team. Our team is led by board-certified ocular oncologist and vitreoretinal surgeon Dr. Amy C. Schefler. We invest in state-of-the-art diagnostic equipment, retinal imaging, and leading treatments in ocular oncology today. With the level of excellence our oncology team brings to our patients, you will receive a detailed diagnosis and a personalized plan for optimal treatment.
Note to patients with cancer
Patients with cancer can lose vision for many reasons, including ocular metastases and side effects of chemotherapy, immunotherapy, and other treatments. Metastases to the eye can be treated. Some of the side effects from other cancer treatments can be treated, and most can be diagnosed by an ocular oncologist. If you are currently in cancer treatment and have sudden or slow loss of vision, call our office for an appointment.
"Mine was, more or less, an urgent situation, so I was very lucky to be able to see her. She had a staff who did the photos/preliminary exams and they were excellent. When I saw her, she had all the results. The news was good and she gave me all the info I needed. To me, time spent was not relevant, as she gave me all the time I needed to ask questions. Since the news was good, I had very few questions."- F.A. / Healthgrades / Oct 06, 2018
"Five Stars - My husband and I have been Dr Kim’s patient for over 17 years. She is a compassionate, knowledgeable, detailed oriented doctor with excellent bedside manner. She had saved my husband’s vision from macular degeneration. We all love her and will be her faithful patients forever."- Anonymous / Vitals / Jul 19, 2018
"For the last three years I've been treated by the Retina Consultants of Houston at the Sugar Land location and have been extremely satisfied with the very professional, courteous staff and Dr. Chen. When at the office in the waiting rooms I've spoken with numerous other patients who have all had the same comments of satisfaction. My observations have always been that the staff and doctors work hard to keep patients waiting time at a minimum, while maintaining the excellent quality of care. I would not go any where else."- S.R. / Google / Jun 22, 2018
"Dr. Brown is an excellent surgeon. If you want the best, you have to make a sacrifice. I have been a patient of Dr. Brown, for decades, and I would recommend him to anyone. I would be completely blind if not for Dr. Brown, and God, the Most Holy of Holy."- M.S. / Healthgrades / May 16, 2018
"My left retina had tear in it and I had no clue of what was happening, but was referred to the Retina Consultants of Houston and was blessed with meeting Dr. Wykoff. He repaired my eye while explaining everything in detail and helping me to feel comfortable. Less than a year later my right eye did the same thing but a little worse. Nowadays, I will only let Dr. Wykoff work on me. I am seeing great today and at 58 have zero floaters, etc. This Doctor is the best."- C.P. / Google / Mar 16, 2018
The majority of our patients with ocular metastases already know that they have cancer. In the United States, the most common cause of choroidal metastases in men is lung cancer and in women is breast cancer. About 25% of our patients with metastases are not aware that they have cancer until the cells in the eye are discovered.
During your consultation and diagnostic testing appointment, we can distinguish metastases from other tumors of the eye with specialized imaging equipment, such as an ultrasound, ophthalmic photographs, OCT, fluorescein angiography, and other forms of testing, as well as a detailed clinical examination.
Treatment and Prognosis
We often work with patients’ primary medical oncologists and primary care doctors in the care of their disease. At RCH, our treatment of ocular metastases can involve different modalities, including targeted radiation, plaque therapy, chemotherapy, and immunotherapy. Your medical team may also combine therapies to provide you with a care plan uniquely made for your situation and health status. While each patient's prognosis is different, Dr. Schefler and our ocular oncology professionals will fight your cancer battle right alongside you with compassionate care and world-class treatments.
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We are On Your side
At Retina Consultants of Houston, our retina specialist and ocular oncologists have years of dedicated experience in diagnosing and treating cancer of the eye for patients of any age. Dr. Schefler and her team will be there for you and your family every step of the way. We will do our best help you learn more about your condition and how to best care for yourself after testing, surgery, and/or aggressive cancer treatments. We are on your side. Call our office to schedule an appointment today.