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Published on: September 13, 2018
Exudative Retinal Detachment Reveals Metastatic Bladder Cancer
Andrew J Di Mattina1, Ahad Fazelat, Alana Santaro
1*OD, FAAO †MD, MPH Manchester VAMC, Manchester, New Hampshire (AJDM, AS); The Medical Eye Center, Manchester, New Hampshire (AF); New England College of Optometry, Boston, Massachusetts (AJDM, AS); Pennsylvania College of Optometry at Salus University, Elkins Park, Pennsylvania (AJDM, AS); SUNY Optometry, New York, New York (AJDM, AS); and Massachusetts College of Pharmacy and Health Sciences, Worchester, Massachusetts (AJDM, AS).
Choroidal metastasis from bladder cancer is rare. This case report details a patient with a serous retinal detachment ultimately diagnosed as bladder cancer metastasis, highlighting a poor prognostic sign.
Area of Science:
- Ophthalmology
- Oncology
- Urology
Background:
- Choroidal metastasis from bladder cancer is exceptionally rare.
- Early detection is crucial for patient outcomes.
Observation:
- A 77-year-old man with a history of bladder cancer presented with blurry vision and headaches.
- Ophthalmic examination revealed a serous retinal detachment.
- Further workup confirmed choroidal metastasis from urothelial carcinoma.
Findings:
- The patient's bladder cancer, previously thought to be controlled, had metastasized to the choroid.
- Imaging and cytology confirmed metastatic disease.
- The patient was diagnosed with stage 4 bladder cancer.
Implications:
- This case underscores the importance of considering cancer metastasis in patients with retinal detachment and a history of cancer.
- Choroidal metastasis from bladder cancer carries a grave prognosis.
- Prompt diagnosis and management are critical.
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