Eye cancer develops in the eye and is a rare disease. The diagnosis is difficult and is usually made during a routine eye examination. Several eye cancer types exist, depending on the structure and the cells involved. The stages of eye tumors range from stage 1 to stage 4.
The eye is a complex organ comprising tissues with significant structural and functional variations. These structures include the conjunctiva, retina, choroid, ciliary body, iris, and lacrimal gland. When the cells of one or more of these structures undergo mutation and start dividing and proliferating uncontrollably, the condition is known as eye cancer. An eye tumor is both life-threatening and vision-threatening and has the potential to metastasize to other organs.
Eye cancer is a rare disease. Most cases of eye cancer are secondary, i.e., the cancer starts in other parts of the body and spreads to the eyes (metastasis). In the United States, the estimated prevalence rate is about 12/100,000 people, while the incidence rate is about 1/100,000 people. In India, the incidence rate of eye tumors among all cancers is about <0.5%. Studies have reported a higher burden of eye tumors in India, and the cases are increasing. The increasing trend may partially be due to better cancer detection techniques, epidemiological transition, and more effective cancer data collection.
Depending on the type of cell it originates from, eye cancer is classified into different types. The following are the different types of eye cancer:
It is one of the most common primary eye cancer types and affects the uvea. The condition may develop in the choroid, ciliary body, or iris. The condition is also subdivided into classes 1 (having low metastatic risk) and 2 (having high metastatic risk). Patients with uveal melanoma have higher metastatic disease-related mortality and visual morbidity.
Intraocular lymphoma is an ocular cancer generally considered a part of central nervous system lymphoma. The disease includes primary and secondary intraocular lymphoma. The condition may develop in the optic nerve, Bruch's membrane, vitreous, uvea, and retina. Intraocular lymphoma primarily arises from the B-cell; however, some intraocular lymphoma may also arise from T-cells. Intraocular cancers are tumors inside the eye.
Orbital tumors are benign or malignant lesions that develop in the tissues surrounding the eyes. They may be primary or secondary. This type of eye tumor may be characterized by vascular lesions, cysts, neurogenic tumors, lymphomas, and secondary tumors. Eyelid tumors develop in the eyelid.
Conjunctival tumors occur in the conjunctiva and are divided into carcinoma in situ, dysplasia, and squamous cell carcinoma. The risk factors for these tumors include immunodeficiency, human papillomavirus (HPV), and exposure to ultraviolet radiation.
Lacrimal gland tumors occur in the lacrimal glands of the eye and constitute about 10% of all orbital tumors. Lacrimal gland tumors are of different types, such as epithelial tumors and lacrimal gland lymphomas.
It is one of the most common cancers in childhood and constitutes about 3% of all childhood malignancies. The condition is characterized by strabismus, leukocoria, red eyes, pain, and reduced vision.
Different stages of intraocular melanoma involving the iris are:
Cancer of the eye occurs in any part of the eye. There are multiple eye cancer types. The most common eye cancer types include uveal melanoma, conjunctival cancer, eyelid cancer, and rhabdomyosarcoma. While stage 1 is the early stage or first stage of eye cancer, stage 4 is the last stage of eye cancer.