[Iris metastasis of bronchial carcinoma: a case report]

We report the observation of a 55-year-old man in subtotal remission of a bronchial T2 N2 M1 adenocarcinoma. He consulted for left ocular redness, attributed to a foreign body. The patient presented a left iridal metastasis of bronchial carcinoma, a left frontal cerebral metastasis, and mediastinal evolutionary recovery. External radiotherapy of 30 Gy in ten fractions was immediately begun, followed by second-line chemotherapy. Local anatomical and functional recovery was fast. The patient then required two external radiotherapy courses on new extraocular lesions. The patient died 10 months after the ocular metastasis diagnosis. In the event of iridal metastasis, it is necessary to carry out a complete examination of both eyes, to question the patient, to search for a primary tumor and other metastases, and to rapidly implement radiotherapy of the entire ocular sphere (30 Gy in ten fractions).