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Published on: March 12, 2018
Neovascular glaucoma as the presenting sign of metastatic small cell lung carcinoma
Chirag P Shah1, Gary Shienbaum, Carol L Shields
1From the *Retina Service, †Ocular Oncology Service, and ‡Department of Pathology, Wills Eye Institute, Thomas Jefferson University, Philadelphia, Pennsylvania.
Purpose:
The purpose of this study is to describe a case of metastatic lung cancer presenting with neovascular glaucoma.
Methods:
This was a retrospective chart review describing one case.
Results:
A previously healthy 36-year-old man presented with light perception vision and painful neovascular glaucoma. Examination and ultrasound showed a complete retinal detachment overlying a dome-shaped choroidal mass. After enucleation, histopathology showed findings consistent with small cell lung carcinoma metastasis. Oncologic evaluation showed a necrotic lung carcinoma with extensive bony metastases.
Conclusion:
Metastatic carcinoma to the eye can manifest with features of neovascular glaucoma.
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