Surgical Ophthalmic Oncology: A Collaborative Open Access Surgical Textbook

In 2014, the First Eye Cancer Working Day was hosted by The Curie Institute in Paris, France. There, we decided to develop a Collaborative Open Access Surgical Textbook (COAST) aimed at offering guidance and international outreach for ophthalmologists in countries without eye cancer specialists.

The resultant 5-year effort was spearheaded by Drs. Sonal Chaugule, Santosh Honavar and Paul T Finger. Supported by The Eye Cancer Foundation ( and published by Springer Nature; The Surgical Ophthalmic Oncology: A Collaborative Open Access Reference, should be described as an easy-to-use, open-access surgical textbook supported by surgical videos. It provides surgical guidance to all the general ophthalmologists currently treating eye cancer patients in unserved and underserved countries.

In addition, this textbook can be used for surgeons, fellows, and trainees around the world who deal with these diseases in their patients. For these physicians in these areas who lack the advanced technology and instrumentation to diagnose and cure diseases, this comprehensive textbook meticulously covers various surgical techniques and provides videos needed to manage different eye cancers.


This text includes chapters that discuss eyelid tumors, conjunctival and corneal tumors, intraocular tumors, enucleation and exenteration, ophthalmic radiotherapy, and ocular pathology. Throughout the chapters, one will find 84 color pictures, 4 black and white illustrations, and relevant high-quality videos. For example, these videos allow the reader to review specific surgical steps in real-time, allowing the reader to benefit from the pooled knowledge of three renowned ophthalmic oncologists! These chapters also address diagnostic indications as well as pre and post operative concerns, truly serving these physicians well as they may use this valuable learning tool in providing the best, most efficient patient care that they possibly can. Lastly, this book ends with a section on ophthalmic pathology, where readers can learn the guidelines for specimen collection and transport as well as the interpretation of the pathology report.


A valuable and unique resource for ophthalmologists working in underserved areas to provide the best quality care for their patients who suffer from eye cancers.

Order online here!

International Multicenter Cooperative Study Supported by The Eye Cancer Foundation


The American Joint Committee on Cancer (AJCC) Cancer Staging Manual compiles all currently available knowledge on cancer staging at various anatomic sites. In 2016, they released the 8th edition, conjunctival melanoma staging system which features 12 new staging systems, a wide range of new staging definitions, and an emphasis on the personalized-medicine approach. This staging system is used and respected by medical, ophthalmic, and radiation oncologists because it standardizes data reporting, prognosis, and selection of the best treatment for conjunctival melanoma. Nonetheless, a collaborative multicenter international registry was organized by our very own Dr. Finger to evaluate the accuracy of such a staging system. In addition to the 19 co-authors listed, Dr. Puneet Jain led the analysis, writing and collaborative revision of this study. He completed an Eye Cancer Foundation-sponsored Fellowship. ECF fellowships are known to foster ophthalmic oncology training, curiosity, learning and ability to perform research!

This study, performs the first ever international multicenter study to evaluate the validity of the eighth edition of the American Joint Committee on Cancer (AJCC) Cancer Staging Manual in estimating mortality rates of metastasis from conjunctival melanoma. The 8th edition AJCC ophthalmic oncology staging systems were written by more than 50 eye cancer specialists from 18 countries.

In this study, co-investigators utilized internet-based data sharing, reviewing 288 conjunctival melanoma patient medical histories. This study included data from 10 ophthalmic oncology centers in 9 countries over 4 continents — 2 in the United States and 1 in Canada, Colombia, Argentina, France, Netherlands, United Kingdom, Sweden, and Jordan. Clinical (cT) and pathologic (pT) staging were performed according to the staging system for conjunctival melanoma in the 8th edition of the AJCC Cancer Staging Manual.

This study was able to find new insights by conducting an analysis of large numbers of rare tumors. The findings corroborate the validity of the 8th edition of the AJCC Cancer Staging Manual. However, it also found several independent factors that are associated with increased mortality, such as tumor thickness, tumor invasion, and ulceration. Ultimately, this study supported the continued use of conjunctival melanoma staging system as published in the 8th edition of the AJCC Cancer Staging Manual.

Patient Stories

"Very well treated by Dr. Finger. He explained everything I needed to know about my issue with detail and attention, putting me at ease and giving me confidence to handle this problem for the rest of my life.”

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