I am newly diagnosed with a very fast growing, unilateral retinoma that is without/little calcification but epithelial growth.

The ocular oncologist currently assumes that it is benign, but may be in the process of malignant transformation.  A biopsy will not be performed due to interocular concerns.  I am having monthly retinal imaging with a full followup with the oncologist in 5 months.

This tumor was diagnosed nearly 20 years ago by an opthamologist during a routine eye exam.  It has remained unchanged until after I had Lasik eye surgery in April of this year.  I have since been experiencing transient vision loss, double vision, and retinal migraines, none of which are being attributed to the retinoma.

I understand that a retinoma in the process of malignant transformation is rarely reported in the literature, especially in adults.  I just had my monthly retinal imagining that showed “marginal growth but not significant enough to report”.

My query regards the course of treatment, as I am extremely uncomfortable with the conservative “wait and see” approach.  Are there any therapies that are aggressive without enucleating the eye?