Sectorial choroidal ischemia associated with ipsilateral lacrimal gland tumor

To report the association of sectorial choroidal ischemia with ipsilateral tumor of the lacrimal gland.

Case report. In a 62-year-old man, a complete ophthalmologic examination, including fluorescein angiography and computed tomographic scans of the orbit, was performed. The patient underwent an en bloc excisional biopsy of the tumor.

Fluorescein angiography of the left eye showed extensive sectorial choroidal ischemia superotemporal to the optic disk with macular involvement and associated chorioretinal folds. The patient was found to have a benign mixed tumor of the left lacrimal gland.

The tumor of the lacrimal gland may have compressed choroidal vessels and short posterior ciliary arteries with subsequent sectorial choroidal ischemia.