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EyeMelanoma.org

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  • Home
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    • Diagnosis and Treatment
    • Research Opportunities
    • Clinical Trials Search
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    • Vision-Related Support
  • Conferences
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OCULAR MELANOMA DIAGNOSIS AND TREATMENT INFORMATION

  On this page, you will find links to the most current educational resources:


Diagnosis and Treatment Guides and Guidelines

  • Ocular Melanoma Guides for Patients
  • Uveal Melanoma Clinical Guidelines for Patient Care


Diagnosis

  • Imaging Tests for Diagnosing and Monitoring Ocular Melanoma
  • Genomic Tests for Uveal Melanoma


Treatment

  • Ocular Melanoma Treatments — Primary and Metastatic
  • U.S. FDA-Approved Treatments for Metastases


Anatomy and Dictionaries

  • Ocular Melanoma and Eye Anatomy
  • Dictionaries for Cancer-Related Words and Drugs

Ocular Melanoma Guides for Patients

These guides, written for patients and their families, provide printable overviews on testing, diagnosis, and treatment of ocular melanoma — primary and/or metastatic. Their latest publication dates are shown.


Because patient guides cover not only medical topics but also helpful non-medical topics, they are shown here regardless of the latest publication date if they are still provided as an organization's primary reference document for patients. (EyeMelanoma.org normally removes medical information that is more than two years old.) Always remember that each patient guide will not reflect any new medical developments that have occurred since its latest publication date.



United States:


>>  American Cancer Society's Eye Cancer (Ocular Melanoma) Patient Guide — Latest: May 2025.


>>  CURE OM's Ocular Melanoma Patient Guide — Latest: 2019.


>>  National Cancer Institute's [Adult] Intraocular (Uveal) Melanoma Treatment Guide — Patient Version — Latest: February 2025. [Also in Spanish — Latest: May 2025. Also as a Health Professional Version — Latest: May 2025.]


>>  National Cancer Institute's Childhood Intraocular (Uveal) Melanoma Treatment Guide — Patient Version — Latest: August 2021. (Based on the other dates, this date may be incorrect on their website.) [Also in Spanish — Latest: March 2025. Also as a Health Professional Version — Latest: August 2024.]



Other Countries:


>>  Cancer Council Australia's Guide for Understanding Ocular (Uveal) Melanoma — Latest: February 2021.


>>  Melanoma Canada's Guide to Uveal Melanoma — Latest: August 2023.


>>  Melanoma Focus' Uveal Melanoma Guide [for United Kingdom] — Latest: November 2023.


>>  Melanoma Institute Australia's Patient Guide on Early Ocular Melanoma — Latest: July 2021; MIA's Patient Guide on Advanced Ocular Melanoma — Latest: July 2022.


>>  Ocular Melanoma UK's Metastatic Uveal Melanoma Guide — Latest: November 2024.

Uveal Melanoma Clinical Guidelines for Patient Care

Always remember that each set of guidelines will not reflect any new medical developments that have occurred since its latest publication date.


>>  "NCCN Guidelines for Melanoma: Uveal" (Latest: Version 1.2025 in February 2025) — National Comprehensive Cancer Network (United States) 


NCCN requires free online registration the first time you try to access these guidelines. Select 'create account' at the bottom of their log-in box.


"The National Comprehensive Cancer Network is a not-for-profit alliance of 33 leading cancer centers [in the United States] devoted to patient care, research, and education.  [...] NCCN Guidelines document evidence-based, consensus-driven management to ensure that all patients receive preventive, diagnostic, treatment, and supportive services that are most likely to lead to optimal outcomes. [...] The intent of the NCCN Guidelines is to assist in the decision-making process of individuals involved in cancer care — including physicians, nurses, pharmacists, payers, patients, and their families."



>>  "Uveal Melanoma UK National Guidelines" (Latest: November 2023) — Uveal Melanoma Guideline Development Group (United Kingdom)


"The Uveal Melanoma UK National Guidelines have recommended standards of care for all of our patients across the UK. These updated guidelines include recent advances in our understanding of the distinct biology of this disease, assess the evidence for recent improvements in care, and have a renewed focus on patient experience. [...] The development group is from fields of medical oncology, clinical oncology, radiology, pathology, uveal melanoma science, and patient representation."



>>  "Management of Uveal Melanoma: Cancer Care Alberta Clinical Practice Guideline" (Latest: December 2023) — Cancer Care Alberta (Canada)


"The purpose of this guideline update is to reassess and update recommendations in the prior guideline from 2016 on the appropriate management of patients with uveal melanoma. [...] An enhancement in methodology included adding levels of evidence and strength of recommendations. [...] The recommendations represent evidence-based standards of care agreed to by a large multidisciplinary group of healthcare professionals."

Imaging Tests for Diagnosing and Monitoring OM

Imaging Tests for Primary or Metastatic Ocular Melanoma

Imaging Tests for Primary or Metastatic Ocular Melanoma

Imaging Tests for Primary or Metastatic Ocular Melanoma

Tests that may be conducted during eye exams for primary ocular melanoma or separately to check for possible metastases in other parts of the body:


Explanations from American Cancer Society


Explanations from Cancer Research UK

Understanding Eye Imaging Tests (Video)

Imaging Tests for Primary or Metastatic Ocular Melanoma

Imaging Tests for Primary or Metastatic Ocular Melanoma

Learn about the role of each eye imaging test: "1) at baseline to aid in diagnosis, identify risk factors for malignant transformation, and provide measurements for treatment planning, and 2) at follow-up to assess treatment response, identify recurrence, and detect treatable complications." View video. (Dr. Heinrich Heimann, OcuMel UK webinar, 30 minutes, September 2021).

Understanding Eye Imaging Tests (Podcast Episode)

Imaging Tests for Primary or Metastatic Ocular Melanoma

Understanding Eye Imaging Tests (Podcast Episode)

"Imaging tests are a key part of your care. Learn about how we use ultrasonography, the different types of color photography, how fluorescein angiography works and how it is used, and the OCT (optical coherence tomography) test." Listen to podcast episode. (Dr. Tara McCannel; Finding Your Way With Ocular Melanoma Podcast, 35 minutes, February 2025).

Genomic Tests for Uveal Melanoma

Performed by Castle Biosciences

About Uveal Melanoma Tumor Biopsies

Performed by Castle Biosciences

Uveal Melanoma Tumor Testing

DecisionDx-UM (Uveal Melanoma Gene Expression Profile) Test — "Enables accurate determination of metastatic risk in uveal melanoma. The test identifies the molecular signature of an individual’s tumor and its likelihood of metastasis within 5 years. Specifically, the assay determines the activity or 'expression' of 15 genes which indicate a patient’s individual risk, or class." 

(IMPORTANT: If you are interested in this test, you must inform your ocular oncologist for planning purposes. For this test, the tumor biopsy must be done BEFORE any radiation therapy.)


These additional uveal melanoma tests can be ordered and run with the above test using the same single biopsy:

  • .DecisionDx-PRAME Test 
  • DecisionDx-UMSeq (Gene Sequencing Panel) Test

Performed by Impact Genetics

About Uveal Melanoma Tumor Biopsies

Performed by Castle Biosciences

Uveal Melanoma Tumor Testing

Uveal Melanoma Prognostic Genetic Test — "Multiple methods of testing are used to detect specific genetic abnormalities in eye tumour cells which can indicate the chance that the cancer will spread to other parts of the body." 

(IMPORTANT: If you are interested in this test, you must inform your ocular oncologist for planning purposes. For this test, the tumor biopsy can be done BEFORE any radiation therapy but might not be able to be done after it.)


About Uveal Melanoma Tumor Biopsies

About Uveal Melanoma Tumor Biopsies

About Uveal Melanoma Tumor Biopsies

 Castle Biosciences (based in U.S.):

Their tests are further explained in a presentation by Castle Biosciences' Katherina Alsina, Ph.D. (pre-set to start at 3:30 timestamp; 20-minute video; December 2024 Ocumel Canada Symposium)


Impact Genetics (based in Canada):

Their test is further explained in a presentation by Impact Genetics' Certified Genetics Counselor Jamie Jessen (pre-set to start at 2:18:35 timestamp; 10-minute video; April 2023 Ocumel Canada Symposium) 



"What To Know About Ocular Melanoma Biopsy"  (80-minute video; Dr. Tara McCannel; June 2025; Presented by Finding Your Way with Ocular Melanoma)

Overview of Ocular Melanoma Treatments

These recent medical journal articles explain current and emerging treatment methods for uveal melanoma and conjunctival melanoma. Many presentations on EyeMelanoma.org's Videos and Conferences webpages also educate patients on treatments for ocular melanoma. (Always remember that none of these recent resources will reflect any new treatment developments that occur after they are published/presented. Also, consult your physician to learn if and how specific treatment options are relevant to your situation.)


EyeMelanoma.org's Clinical Trials Information webpage presents resources for searching for primary or metastatic ocular melanoma treatments in the clinical studies stage.



UVEAL MELANOMA


Overview of Uveal Melanoma Treatments — Primary and Metastatic:


>>  "Current Treatment of Uveal Melanoma"

Authors: Hanratty, Finegan, and Rochfort (Cancers, April 2025)


Overview of the Most Common Primary Uveal Melanoma Treatments:


>>  
Eye Removal (Enucleation) and Prosthetics for Ocular Melanoma Patients  (This link will take you to the relevant resources for this topic on EyeMelanoma.org's Vision-Related Support webpage)


>>  
"Plaque Radiotherapy [Brachytherapy] for Ocular Melanoma"

Authors: Thomas, Chou, and Gopal (Cancers, October 2024)


>>  
"Proton [Beam] Therapy in Uveal Melanoma"

Authors: Chan, Lin, Yacoub, et al. (Cancers, October 2024)



CONJUNCTIVAL MELANOMA


Overview of Conjunctival Melanoma Treatments — Primary and Metastatic:


>>  "Emerging Techniques in the Treatment of Conjunctival Melanoma"

Authors: Li, Venkateswaran, Antonietti, et al. (Current Ophthalmology Reports, June 2025)


>>  "Conjunctival Melanoma: A Narrative Review of Current Knowledge"

Authors: Papaoikonomou, Pavlidis, Apalla, et al. (Pigment Cell & Melanoma Research, March 2025)

U.S. FDA-Approved Treatments for Metastatic Uveal Melanoma

These are the first and only metastatic uveal melanoma treatments approved by the FDA to date:


>>  FDA Announcement: "On January 25, 2022, the [U.S.] Food and Drug Administration approved tebentafusp-tebn (Kimmtrak, Immunocore Limited), a bispecific gp100 peptide-HLA-directed CD3 T cell engager, for HLA-A*02:01-positive adult patients with unresectable or metastatic uveal melanoma." Also: KIMMTRAK website and Kimmtrak Connect (their patient website).


>>  FDA Announcement: "On August 14, 2023, the [U.S.] Food and Drug Administration approved HEPZATO KIT (melphalan for Injection/Hepatic Delivery System) containing melphalan (HEPZATO, Delcath Systems, Inc.) as a liver-directed treatment for adult patients with uveal melanoma with unresectable hepatic metastases affecting less than 50% of the liver." Also: HEPZATO KIT website and their patient section of website.


See EyeMelanoma.org's Clinical Trials Information webpage for how to search for ocular melanoma treatments in the clinical studies stage.

Ocular Melanoma and Eye Anatomy

 Videos created for ocular melanoma patients that explain the parts of the eye and where this eye cancer can develop:


"Basic Anatomy of the Eye"  

Presenter: Guilherme Neri Pires, MD; June 2020; Presented by UM Cure 2020 Project (5-minute overview)


"Understanding the Anatomy of the Eye"  

Presenter: Guilherme Neri Pires, MD; July 2019; Presented by Ocular Melanoma UK (40-minute presentation, including Q&A)

Dictionaries for Cancer-Related Words and Drugs

Cancer-Related Terminology

Cancer-Related Terminology

Cancer-Related Terminology

 The Dictionary of Cancer Terms database contains more than 9,000 "cancer and biomedical terms defined in non-technical language." Pronunciation of each term is also provided. (Also available in Spanish.) From the National Cancer Institute.

Access Here

Cancer-Related Drugs

Cancer-Related Terminology

Cancer-Related Terminology

The Drug Dictionary database contains "technical definitions and synonyms for drugs/agents used to treat patients with cancer. Each drug entry includes links to check for clinical trials." From the National Cancer Institute.

Access Here

 New information added to this webpage: August 6, 2025

 All content and links to external sites re-verified on this webpage: September 2, 2025

 Any Feedback? Please Email: Erica@EyeMelanoma.org 

  • Home
  • About
  • Organizations
  • Doctors
  • Diagnosis and Treatment
  • Research Opportunities
  • Clinical Trials Search
  • Financial Assistance
  • Personal Support
  • Mental Health Support
  • Patient Empowerment
  • Vision-Related Support
  • Conferences
  • Videos
  • Recent Journal Articles
  • How to Journal Search

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Focus Area: Ocular Melanoma Eye Cancer — Both Uveal Melanoma and Conjunctival Melanoma.
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