A Rare Case of Non-Small Cell Lung Cancer Presenting as Exudative Retinal Detachment

Area of Science:

• Ophthalmology
• Oncology
• Radiology

Background:

• Lung cancer is a leading cause of cancer-related mortality.
• Intraorbital metastases from lung cancer are uncommon.
• Retinal detachment is a serious ocular condition with various potential causes.

Purpose of the Study:

• To highlight retinal detachment as a rare but significant early sign of intraorbital lung cancer metastases.
• To emphasize the importance of prompt magnetic resonance imaging (MRI) in diagnosing such cases.
• To underscore the impact of early diagnosis on treatment strategies and patient outcomes.

Main Methods:

• Case report analysis.
• Review of clinical presentation and diagnostic imaging.
• Correlation of ocular findings with histopathological confirmation of lung cancer.

Main Results:

• A rare case of lung cancer presenting initially with retinal detachment due to intraorbital metastasis is described.
• Magnetic resonance imaging (MRI) was instrumental in identifying the intraorbital mass and its relationship to the eye.
• The findings underscore the necessity of considering metastatic disease in unexplained retinal detachments.

Conclusions:

• Retinal detachment, though rare, can be an initial clinical manifestation of intraorbital lung cancer metastases.
• Early and accurate diagnosis via MRI is critical for initiating appropriate oncological management.
• This emphasizes the multidisciplinary approach required for managing complex oncological and ophthalmological presentations.