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Bilateral choroidal metastases presenting as acute glaucoma crisis
Mehmet Selim Kocabora1, Sahan Durmaz, Levent Bilgic
1Vakif Gureba Education and Research Hospital, Vatan cad. Fatih, Istanbul. kocabora@gmail.com
Annals of Ophthalmology (Skokie, Ill.)
|February 24, 2009
Summary
Bilateral choroidal metastasis from lung cancer can cause acute glaucoma. This condition may present as a painful, hypertensive eye, even without other signs of systemic malignancy.
Area of Science:
- Ophthalmology
- Oncology
Background:
- Choroidal metastasis is a rare but serious condition.
- It can present with varied ocular symptoms.
Observation:
- A patient presented with acute unilateral glaucoma.
- Ocular examination revealed bilateral choroidal masses and anterior segment neovascularization.
Findings:
- The choroidal masses were diagnosed as metastatic disease from a primary lung tumor.
- Anterior segment neovascularization led to elevated intraocular pressure, mimicking primary glaucoma.
Implications:
- This case highlights that a painful, hypertensive eye can be the sole presenting sign of choroidal metastasis.
- Early recognition is crucial for timely diagnosis and management of metastatic cancer.
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