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Diabetic Retinopathy01:27

Diabetic Retinopathy

DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...

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Choroidal metastasis with retinal detachment: A case report.

Shu-Hua Lin1, Yong-Gen Xu2, Jing-Hua Zhao1

  • 1Department of Ophthalmology, Affiliated Hospital of Yanbian University, Yanji Jilin, China.

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Choroidal metastasis (CM) from esophageal cancer is rare, presenting as retinal detachment. Early diagnosis and a multidisciplinary approach are crucial for managing this rare ocular complication.

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Area of Science:

  • Ophthalmology
  • Oncology
  • Pathology

Background:

  • Choroidal metastasis (CM) is a rare but serious complication of cancer, most commonly originating from breast carcinoma.
  • Esophageal cancer, while less common, can also metastasize to the choroid, leading to significant ocular morbidity.

Observation:

  • A 62-year-old man with resected esophageal cancer and brain metastasis developed choroidal metastasis with exudative retinal detachment in the left eye.
  • Despite initial improvement with chemotherapy, visual acuity declined after brain surgery, revealing multiple choroidal masses and retinal detachment.

Findings:

  • The patient presented with recurrent exudative retinal detachment without retinal tears, ultimately diagnosed as choroidal metastasis.
  • Despite recommendations for enucleation, the patient refused treatment, and systemic metastases led to his death.

Implications:

  • This case highlights the importance of considering choroidal metastasis in patients with known cancer and new-onset retinal detachment.
  • Developing standardized treatment plans and a multidisciplinary approach is essential for early diagnosis and timely intervention in rare ocular metastases.