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Advanced ethmoid sinus adenocarcinoma presenting as temporary exudative retinal detachment
M A Marcos-Fernández1, V M Asensio-Sánchez, D Peña
1Department of Ophthalmology, University Clinic Hospital of Valladolid, Valladolid, Spain.
Case Reports in Ophthalmology
|July 31, 2013
Summary
A rare case of ethmoid sinus adenocarcinoma presented as temporary exudative retinal detachment (ERD). This finding highlights the importance of considering neoplastic causes for unexplained ERD.
Area of Science:
- Ophthalmology
- Oncology
- Otorhinolaryngology
Background:
- Ethmoid sinus adenocarcinoma is a rare malignancy.
- Exudative retinal detachment (ERD) can have various causes, often localized.
Observation:
- A 70-year-old male presented with sudden onset exudative retinal detachment in the right eye.
- The ERD spontaneously resolved within two weeks.
- Initial investigations for common causes of ERD were inconclusive.
Findings:
- Computed tomography revealed an ethmoidal mass extending into the orbit.
- Biopsy confirmed the diagnosis of adenocarcinoma.
- The ocular presentation was the initial manifestation of the malignancy.
Implications:
- Neoplastic phenomena should be considered in the differential diagnosis of temporary ERD.
- This case underscores the potential for sinonasal cancers to present with ocular symptoms.
- Early detection of sinonasal adenocarcinoma may be facilitated by recognizing unusual ophthalmic presentations.
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