Baltimore Ophthalmologist on Eyes, Colonoscopy & Colon Cancer

Baltimore Washington Eye Center, Maryland

Monday, December 16, 2013

Baltimore Ophthalmologist on Eyes, Colonoscopy & Colon Cancer

Ophthalmologist Brad Spagnolo, M.D. of Baltimore Washington Eye Center asked “What could having a colonoscopy for colon cancer risk possibly have to do with your eyes?” As it turns out-plenty! The retinal pigmented epithelium (RPE) is a layer of the retina which can sometimes be thicker than normal at birth-or “hypertrophic”. “During regular eye exams when we find these areas of retinal pigmented epithelial hypertrophy typically they do not cause any vision problems or symptoms and are pretty unremarkable,” commented Dr. Spagnolo.

Congenital Retinal Pigment Epithelial Hypertrophy (CHRPE) is usually found before patients reach 30 years of age and although they may enlarge with time they usually do not lead to malignancies like colon cancer. However, there is an association between people with Gardner's Syndrome-Familial Colonic Polyposes-or polyps of the colon, and CHRPE. If your eye doctor has told you that you have Congenital Retinal Pigment Epithelial Hypertrophy-perhaps called “Bear Tracks” or “Pigment Spots” or “Retina Freckles”, it is important to carefully explore and review your family history reasonable with a Gastroenterologist who will likely schedule you for a colonoscopy. CHRPE has a “statistically significant” correlation with hereditary colon polyps known as Familial Adenomatous Polyposis, or FAP. It may be that the freckles are caused by the same genetic mutation that produces the polyps. A study published in 2010 in the American Journal of Gastroenterology concluded that patients with such freckles should be referred for colonoscopies.

Thus-when we are over 50 years of age, the reasons to have yearly eye exams includes not only detecting cataracts, glaucoma, age related macular degeneration (AMD) and other eye diseases, but regular eye examinations may very well be a reminder to be screened via colonoscopy to help detect early risks and potential indicators of colon cancer. You are encouraged to schedule an eye examination at Baltimore Washington Eye Center by calling 800-495-3937, visiting Baltimore Washington Eye Center or facebook.com/baltimorewashingtoneyecenter, so that we can recommend an appropriate eye exam plan.

Baltimore Washington Eye Center is a leading eye care practice with office locations at 200 Hospital Drive, Suite 600, Glen Burnie, Maryland 21061 and RiverHill Professional Center, 6100 Day Long Lane, Suite 207, Clarksville, Maryland.