Prof. Ido Didi Fabian

Patients usually reach out at different stages. Some contact me right after diagnosis. Others come when a treatment plan has already been suggested and they want another opinion.

Ocular melanoma is relatively rare, and experience matters. My first step is usually reviewing imaging, biopsy results, and prior evaluations.

Sometimes we confirm the original plan. Other times we discuss alternative approaches. Each case is different.

I usually tell patients — if something was found in the eye and you’re not completely comfortable with the explanation, it’s reasonable to speak with someone who deals with eye tumors regularly.

Quite often people come after hearing different opinions. Sometimes they were told to just watch it. Sometimes they were advised to treat right away. That can be confusing.

In those situations, I try to slow things down a bit. First, I look at the scans myself. Then we talk about what this actually means and whether anything needs to be done now — or whether it’s safe to wait.

In many cases, the conversation itself already helps patients feel more comfortable with the plan.

Most of the time, I start by reviewing the imaging and previous reports. It helps me understand the story before we even talk.

During the consultation, I usually share my screen and go through the images together. I explain what I’m looking at, what seems typical, and what might need closer attention.

Sometimes the next step is straightforward. Other times, I might suggest repeating imaging after a few months or discussing the case with colleagues.

There’s usually no need to rush. My goal is simply to understand the situation clearly and help the patient make a calm, informed decision.

There’s no single answer. It depends on tumor type, size, and location.

Sometimes observation is appropriate. Sometimes local treatments like brachytherapy or laser therapy are recommended. In more complex situations, we consider combined approaches.

I usually explain the reasoning behind each option so patients can make decisions comfortably.

In many cases — yes. This is often one of our main goals.

Modern treatment options allow us to control tumors while preserving the eye and sometimes vision. The approach depends on the specific situation.

Yes, and actually many patients prefer to start this way — especially if they live far away or just want an initial opinion.

I usually ask patients to send imaging and reports in advance. I go through everything carefully before the meeting. Then during the consultation we talk through the situation and possible next steps.

Sometimes one consultation is enough to clarify things. Sometimes we decide to continue the evaluation. It really depends on the case.