Clinical Scorecard: In Memoriam: Jerry A. Shields, MD

At a Glance

Key Highlights

• Pioneered modern ocular oncology transforming eye cancer care from eye removal to globe-sparing treatments
• Co-founded and led Wills Eye Hospital’s Ocular Oncology Service into a global referral center
• Mentored over 300 fellows worldwide and authored thousands of scientific papers and key textbooks

Guideline-Based Recommendations

Diagnosis

• Use precise diagnostic methods such as radioactive phosphorus testing for intraocular tumors

Management

• Employ globe-sparing treatments like plaque radiotherapy to preserve the eye
• Individualize patient care based on meticulous clinical outcome documentation

Monitoring & Follow-up

• Regular follow-up to assess treatment outcomes and adjust management accordingly

Risks

• Recognize potential risks associated with intraocular tumors and balance treatment to avoid unnecessary eye removal

Patient & Prescribing Data

Patients diagnosed with intraocular tumors requiring specialized ocular oncology care

Treatment strategies evolved from enucleation to globe-sparing approaches improving patient quality of life

Clinical Best Practices

• Integrate multidisciplinary approaches combining oncology and retina specialties
• Emphasize mentorship and training to disseminate expertise in ocular oncology
• Maintain scientific rigor and detailed clinical documentation to guide individualized patient care

References

• Retinal Physician 2018 Profile: Visionaries of Vision