The future of eye cancer treatment
Paul T. Finger (M ’82) came to New Orleans to create something that did not yet exist.
When Finger joined Tulane as a professor of ophthalmology at Tulane University School of Medicine and director of the Ocular Tumor Service in 2025, he recognized a regional need for eye cancer treatment options, particularly for choroidal melanoma, the most common form of eye cancer in adults.
“Louisiana, Mississippi and Alabama are basically unserved states,” said Finger, one of the world’s preeminent authorities on ophthalmic oncology and a 1982 graduate of Tulane School of Medicine. “There’s a deficit of care for eye cancer. People were traveling to Houston, Memphis and sometimes Atlanta to get their care, or if they couldn’t travel, people were unnecessarily losing their eyes and sight because they got eye cancer.”
Earlier this year, Finger, Tulane and LCMC Health launched Louisiana’s first comprehensive ophthalmic plaque brachytherapy program at East Jefferson.
The treatment uses a small plaque containing radioactive seeds that is positioned on the outside of the eye to deliver radiation directly to the tumor. Traditionally, the procedure requires two surgeries: one to attach the plaque over the tumor and another, several days later, to remove it.
In March 2026, a patient who lives more than an hour from New Orleans became one of the first in Louisiana to receive the treatment after a routine eye appointment revealed a tumor. Following this success, the program quickly saw a surge of interest from beyond the New Orleans area.
“The service is growing exponentially,” Finger said. “We did an analysis, and approximately 70% of the patients coming to us have never been to Tulane-LCMC Health before. Many of them are from Mississippi and northern Louisiana. I think we’ve had a few from Alabama, and there is also no eye cancer center in the Florida Panhandle.”
Months after pioneering the first use of the treatment in the state, Finger is already referring to ophthalmic plaque brachytherapy as “the old way.”
He and his team have begun treating patients with a device he invented to deliver a form of radiation therapy available at only a handful of health systems nationally — and, Finger said, nowhere else in the South.
“The old way, you sew the plaque onto an eyeball and leave it there for five to seven days, because that’s how long it took for the radiation to get out of the seeds and into the tumor,” Finger said. “I invented a device that delivers the same amount of radiation needed to kill the tumor in 10 or 15 minutes.”
Instead of two surgeries, only one is required. Days of treatment are reduced to minutes. And the plaque only needs to be held onto the eye — no stitches required.
The device is the first-ever light-guided, light-defined brachytherapy radiation delivery system in the world. Finger’s key innovation was to apply four lights around the disc. During treatment, the lights allow physicians to look through the pupil and see exactly where the radiation is being delivered.
By August, Finger had successfully treated a handful of patients with the cutting-edge device. He expects the reach of the program to continue growing.
“We are bringing people in from across the South, but eventually I think we will bring in people from across the country,” Finger said.