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Updated: May 31, 2026

Anterior High-Resolution Optical Coherence Tomography in the Diagnosis and Therapeutic Monitoring of Ocular Surface Squamous Neoplasia
Published on: August 9, 2024
[Intraocular manifestations of systemic neoplasms]
N E Bechrakis1, G Haas, G Blatsios
1Department of Ophthalmology, Innsbruck Medical University, Innsbruck, Austria. nikolaos.bechrakis@i-med.ac.at
Ocular manifestations like metastases and paraneoplastic syndromes can signal systemic neoplasms. Early fundus examination aids in diagnosing cancers such as von Hippel Lindau syndrome and bowel cancer.
Area of Science:
- Ophthalmology
- Oncology
- Genetics
Context:
- Systemic neoplasms can present with diverse intraocular manifestations.
- These include direct metastases (uveal, retinal, vitreous) from various cancers.
- Genetic syndromes like von Hippel Lindau and familial adenomatous polyposis coli (FAP) have characteristic fundus findings.
Purpose:
- To highlight the spectrum of ocular manifestations associated with systemic malignancies.
- To emphasize the diagnostic and early detection role of fundus examination in specific genetic syndromes.
- To discuss rare paraneoplastic syndromes as potential primary indicators of underlying cancer.
Summary:
- Intraocular involvement in systemic neoplasms encompasses metastases from carcinomas, melanomas, and lymphomas.
- Fundus examination is crucial for diagnosing genetic syndromes (e.g., von Hippel Lindau, FAP) and associated systemic cancers.
- Rare paraneoplastic syndromes (CAR/MAR, PON, BDUMP) can be the initial sign of malignancy.
Impact:
- Enhances understanding of the ophthalmological signs of systemic cancers.
- Promotes early diagnosis of systemic neoplasms through ocular screening.
- Improves patient outcomes by facilitating timely oncological intervention.
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