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Choroidal and optic disk metastases of a laryngeal carcinoma
Elena Garcia-Martin1, Isabel Pinilla, Eva G Alias
1From the Department of Ophthalmology, Instituto Aragonés de Ciencias de la Salud, Miguel Servet Universitary Hospital, Zaragoza, Spain.
Purpose:
To report a case of laryngeal squamous carcinoma metastatic to the eye affecting the choroid and optic nerve.
Methods:
A 58-year-old man complained of sudden decrease of visual acuity in his left eye on admission to the emergency room. One year previously, he had undergone a surgical removal of laryngeal carcinoma. Funduscopic examination detected a choroidal mass in the macular area.
Results:
After 10 days, the patient complained of pain and a diminished visual acuity and presented an exudative retinal detachment and optic nerve infiltration.
Conclusion:
Metastatic tumors are the most common intraocular malignancies, and the choroid is by far the most frequent location for the intraocular metastases. Metastases from a laryngeal carcinoma are quite unusual. Lesions affecting both choroid and optic nerve are extremely rare.
