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SIMULTANEOUS CHOROIDAL AND RETINAL METASTASES FROM LUNG CARCINOMA
Danilo M Jorge1, Marina Labarrere1, Murilo W Rodrigues1
1Department of Ophthalmology, Ribeirão Preto School Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil; and.
Retinal Cases & Brief Reports
|August 30, 2017
Summary
This case study presents a rare instance of synchronous lung cancer metastases to both the choroid and retina. The findings highlight the importance of thorough ophthalmic examination for diagnosing rare intraocular tumors.
Area of Science:
- Ophthalmology
- Oncology
- Medical Imaging
Background:
- Intraocular metastases typically involve the choroid due to its rich blood supply.
- Retinal metastases are rare because of a separate blood supply.
- This report details a unique case of simultaneous choroidal and retinal metastases from lung carcinoma.
Observation:
- A 63-year-old woman presented with progressive vision loss in her right eye.
- Multimodal ophthalmic imaging, including EDI SD-OCT, was performed.
- Findings included a choroidal mass in the right eye and a retinal mass in the left eye.
Findings:
- Ophthalmoscopy revealed a 6x6 mm choroidal mass with subretinal fluid in the right eye.
- The left eye showed a 1x1 mm retinal mass near the optic disc.
- Chest CT identified a pulmonary nodule, and liver biopsy confirmed mucinous lung carcinoma.
Implications:
- This case underscores the possibility of synchronous choroidal and retinal metastases from lung cancer.
- It emphasizes the need for comprehensive eye evaluations in patients with suspected or confirmed lung cancer.
- Early detection of intraocular metastases can aid in timely cancer management and potentially preserve vision.
