{
  "schema_version": 1,
  "kind": "condition",
  "id": "eye-neoplasm",
  "name": "Eye or Adnexa Tumor",
  "category": "chronic",
  "sources": "ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class FD25 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care · Retinoblastoma - StatPearls (NCBI Bookshelf NBK545276) - https://www.ncbi.nlm.nih.gov/books/NBK545276/",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Eye or Adnexa Tumor - disease-level clinical article (eye-neoplasm-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 687,
      "generic": "No drug therapy in primary care (Recognition & Referral)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "Lumps or lesions involving the eye, eyelid, or orbit require careful inspection and slit-lamp examination to evaluate for benign growths, basal cell carcinoma, or intraocular tumors. Any new, pigmented, rapidly growing, or painful ocular or adnexal mass warrants urgent ophthalmology referral for dermoscopy, imaging, and biopsy. Primary care management involves protecting the eye and avoiding topical steroids until evaluated by a specialist.",
      "adult_duration": "Refer",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "Lumps or lesions involving the eye, eyelid, or orbit require careful inspection and slit-lamp examination to evaluate for benign growths, basal cell carcinoma, or intraocular tumors. Any new, pigmented, rapidly growing, or painful ocular or adnexal mass warrants urgent ophthalmology referral for dermoscopy, imaging, and biopsy. Primary care management involves protecting the eye and avoiding topical steroids until evaluated by a specialist.",
      "cautions": [
        "Rare in Egyptian primary care.",
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.",
        "RED FLAG - Compressive optic neuropathy is a major complication of large orbital tumors, and incomplete resection risks recurrence or malignant transformation.",
        "RED FLAG - A rapidly growing or vision-threatening lesion needs urgent referral regardless of the presumed type."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "eye-neoplasm"
    }
  ]
}