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Undetected Ocular Mass as a Critical Alert for Identifying Uveal Metastasis
Tea Štrbac1,2,3,4, Biljana Kuzmanović Elabjer1,2,3,4,5,6, Antun Koprivanac7
1University Eye Department, University Hospital "Sveti Duh", Zagreb, Croatia.
Case Reports in Ophthalmological Medicine
|October 24, 2024
Summary
Metastatic lung adenocarcinoma can rarely present as an ocular mass in the iris and ciliary body. Early detection through comprehensive eye exams is crucial for diagnosing systemic malignancy.
Area of Science:
- Ophthalmology
- Oncology
- Pathology
Background:
- Metastatic disease to the eye is uncommon.
- Uveal metastases require high clinical suspicion for early diagnosis.
- Ocular manifestations can be the first sign of systemic malignancy.
Observation:
- An 82-year-old male presented with acute vision loss and ocular pain.
- Examination revealed a hemorrhagic iris and ciliary body mass.
- Ultrasound biomicroscopy confirmed extensive tumor infiltration of the anterior uvea.
Findings:
- CT chest imaging identified a primary lung mass.
- Fine needle aspiration biopsy confirmed metastatic lung adenocarcinoma.
- Ocular findings were indicative of metastatic disease.
Implications:
- Ocular masses, particularly in the uvea, warrant thorough investigation for underlying systemic cancers.
- Multidisciplinary collaboration between ophthalmologists and oncologists is essential for accurate diagnosis and management.
- Comprehensive ophthalmological examinations, including advanced imaging, aid in identifying metastatic lesions.
