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Lung carcinoma presenting as monocular painless blindness
Alok Pratap Singh1, Amitabh Arya2, Ahmad Husain1
1Department of Ophthalmology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Rae Bareli Road, Lucknow, Uttar Pradesh, India.
Radiology Case Reports
|April 26, 2024
Summary
A rare lung cancer case presented with only vision loss. Early eye lesion evaluation is crucial for detecting lung malignancy, even in young, non-smoking patients.
Area of Science:
- Oncology
- Ophthalmology
Background:
- Lung malignancy can present with rare, atypical symptoms.
- Ocular metastasis is an uncommon but serious complication of lung cancer.
Observation:
- A 32-year-old, non-smoking female presented with sudden, painless vision loss in one eye and photophobia in the other.
- Ophthalmic examination revealed choroidal secondaries as the cause of visual disturbance.
Findings:
- Further workup confirmed widespread lung carcinoma with metastasis to multiple organs.
- The patient was asymptomatic except for the ocular symptoms, highlighting a distinct presentation of lung malignancy.
Implications:
- This case underscores the importance of investigating intraocular lesions promptly, regardless of patient age or smoking history.
- Early detection of lung cancer through ophthalmic evaluation can be critical, even in asymptomatic individuals.
- Such presentations may represent a unique subset of lung malignancy requiring specific diagnostic and treatment approaches.
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