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[Choroidal metastasis simulating uveal effusion syndrome: case report]
Carlos Eduardo Cury Júnior1, Alexandre Cury Júnior, Rubens Camargo Siqueira
1Departamento de Retina e Vítreo, Hospital do Olho Rio Preto, São José do Rio Preto, SP, Brasil. drcury@hotmail.com
Arquivos Brasileiros De Oftalmologia
|June 3, 2008
Summary
Choroidal metastasis from lung cancer can mimic uveal effusion syndrome, causing vision loss. Prompt systemic cancer screening is crucial for atypical uveal effusion symptoms.
Area of Science:
- Ophthalmology
- Oncology
Background:
- Choroidal metastasis is a rare but serious condition.
- Uveal effusion syndrome is a condition characterized by fluid accumulation in the choroid.
Observation:
- A patient with lung carcinoma presented with decreased vision and signs mimicking uveal effusion syndrome.
- Ophthalmic examination revealed pigmentary changes, choroidal nodules, and serous retinal detachment.
Findings:
- Fluorescein angiography showed a 'leopard spots' pattern.
- Ultrasound and OCT confirmed choroidal nodules, thickening, and retinal detachment.
- A pulmonary nodule was identified in the lung.
Implications:
- Choroidal metastasis should be considered in atypical uveal effusion syndrome cases.
- Systemic cancer screening is vital for patients with suspicious ocular findings.
- Early diagnosis and treatment can improve patient outcomes.
