Routine Eye Exam Leads to Life-Saving Cancer Diagnosis for West Columbia Doctor of Optometry

What began as a routine eye examination for a Midlands man ultimately led to the early detection of ocular melanoma after Dr. Katie Davis, Doctor of Optometry at Vision Therapy Institute in West Columbia, identified a small freckle on the back of his eye.

During a comprehensive dilated eye exam, Davis discovered a choroidal nevus, commonly known as an eye freckle. While many are harmless, some can develop into ocular melanoma. Davis began monitoring the area with Optos ultra-widefield retinal imaging, allowing her to document and compare changes over time.

“Years ago, we relied on drawings and manual measurements,” Davis said. “Today’s imaging allows us to compare photographs over time and identify even subtle changes much more accurately.”

Months later, the patient returned after experiencing flashes of light. Updated retinal images showed changes in the previously stable freckle, prompting an immediate referral to a retina specialist. The patient was diagnosed with ocular melanoma.

Because the cancer was identified early, specialists were able to treat the tumor without removing the patient's eye, preserving his vision and quality of life. The patient continues to do well and has since entrusted Davis with the eye care of his children.

Davis says the case demonstrates why comprehensive eye exams are about more than determining whether someone needs glasses. Eye examinations can help detect serious conditions, including diabetes, high blood pressure, neurological conditions and, in rare cases, cancer before symptoms appear.

Ocular melanoma, also known as uveal melanoma, is the most common primary eye cancer in adults but remains rare. Approximately 2,500 to 3,000 people are diagnosed nationally each year. Early detection provides the best opportunity for treatment before the cancer spreads.

Davis encourages South Carolinians to prioritize annual comprehensive eye examinations, even when their vision appears healthy.

“Many serious eye diseases don’t cause symptoms until they’ve progressed,” Davis said. “The best time to find a problem is before you notice one.”

The case also highlights the importance of access to comprehensive eye care throughout South Carolina. The South Carolina Optometric Physicians Association’s #Sight4SC campaign is working to raise awareness about the importance of comprehensive vision care and greater access to eye health services.

For more information about comprehensive eye care and the #Sight4SC campaign, visit sceyedoctors.com.