New York Eye and Ear Infirmary
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Chief of Service

Paul Finger, M.D.

Founded in 1989, The Ocular Oncology Service at New York Eye and Ear Infirmary of Mount Sinai has become the largest ophthalmic oncology clinic in the tri-state area. Serving the needs of patients from around the world, we have increased the patient base, available hours, and involvement in national and international research studies.

The latest diagnostic techniques are available on The Ocular Oncology Service and include specialized tumor photography, angiography, computerized optical coherence tomography (OCT) and fundus autofluorescence imaging (FAF). In addition, full time ophthalmic ultrasound technicians perform high frequency imaging of the anterior eye as well as low frequency ocular and orbital imaging.

Many of these techniques were either discovered or investigated on The Ocular Oncology Service, resulting a number of landmark publications. Some of these studies are listed below.

In addition, our specialized technology, personnel and the guidance of Dr. Finger has resulted in a more comprehensive oncology service for patients and a greater exposure for residents, medical students, and fellows.

Eye cancers can be found on the eyelids, conjunctiva, iris, retina, choroid, sclera, optic nerve and orbit. The Ocular Oncology Service has specialized facilities for patients with eye cancer.

All patients examined on The Ocular Oncology Service should expect:

  • Visual acuity assessment
  • Slit lamp examination
  • Ocular pressure measurement
  • External examination
  • Pupillary and ocular motion evaluation
  • Ophthalmoscopic evaluation of the inside of the eye.

Other examinations performed when necessary:

  • Gonioscopy
  • Transillumination of iris and ciliary body (anterior) tumors
  • Ultrasonography by contact and high frequency biomicroscopy (immersion)
  • Fundus photography, fluorescein and indocyanine green angiograms
  • Fundus autofluorescence (FAF)
  • Optical Coherence Tomography (OCT) Imaging
  • Anterior Segment OCT
  • Confocal Imaging of the Cornea

Resident Training

Residents are trained on the Ocular Oncology Service and become competent in the evaluation and differential diagnosis of ocular tumors. They take responsibility for patients and perform eye cancer surgeries while supervised by Dr. Finger. Surgical procedures include biopsy techniques, laser photocoagulation, cryotherapy, local resection, orbitotomy, enucleation, orbital exenteration and ophthalmic plaque radiotherapy are performed.

The Ocular Tumor Service curriculum is organized so that there are 3 hours of didactic instruction and attendance at lectures is mandatory. In addition, the diagnosis and treatment of patients often generate spontaneous lectures in the clinical setting. Elements of patient education and informed consent are also discussed. 

From their experience residents are expected to form a differential diagnosis, describe how that diagnosis was made, and suggest methods of treatment. During each clinic session, individual residents are asked questions and an assessment is made about their current knowledge and reading habits.

Medical students, fellows and attending physicians visit our clinic as they express an interest. 

Resident research activities in ocular oncology are strongly encouraged. Manuscripts are generated from unusual cases, reviews and basic science studies. Many investigational protocols are currently active within The Ocular Oncology Service.

Read more about the Resident Training Program in Ophthalmology.

Select Landmarks and Innovations

  • The Collaborative Ocular Melanoma Study (COMS)
  • New York Eye and Ear Infirmary Center
  • Palladium-103 for ophthalmic plaque radiation therapy
  • Finger-tip cryotherapy applicators for conjunctival cancer
  • PET/CT for staging of choroidal melanoma
  • PET/CT for staging periocular sebaceous carcinoma
  • Topical Mitomycin eye drops for conjunctival melanoma
  • Topical Interferon eye drops for conjunctival melanoma
  • Ultrasound imaging of anterior segment cysts and tumors
  • High frequency ultrasound imaging of intraocular invastion of conjunctival squamous carcinoma
  • High frequency ultrasound imaging of retinoblastoma
  • 3D ultrasound imaging of choroidal melanoma
  • 3D ultrasound imaging of eye plaque placement
  • 3D ultrasound imaging of orbital meningioma
  • 3D ultrasound imaging of retinoblastoma
  • Radioactive plaque therapy for iris and iridociliary melanomas
  • Radiation blocking glasses lets monocular patients see during radioactive plaque therapy
  • Finger’s slotted plaque therapy for tumors surrounding the optic nerve.
  • Anti-VEGF therapy can suppress radiation retinopathy and optic neuropathy
  • Small incision, aspiration-cutter assisted iris biopsy. The Finger iridectomy technique (FIT)
  • Small incision, aspiration-cutter assisted anterior orbitotomy biopsy or Finger’s Aspiration Cutter Technique (FACT).
  • The aforementioned items can be hyperlinked to PubMed


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