Management of choroidal metastasis: a report

Area of Science:

• Ophthalmology
• Oncology

Background:

• Intraocular malignancies are most commonly caused by cancer metastasis.
• The choroid is the most frequent site for eye metastases.
• Breast and lung cancers are the leading primary sources of ocular metastases.

Purpose of the Study:

• To present the management and outcome of a patient with choroidal metastasis originating from breast cancer.
• To highlight the effectiveness of multimodal treatment for intraocular metastases.

Main Methods:

• A case study approach was used.
• Treatment involved a combination of radiotherapy and chemotherapy.
• Clinical follow-up was conducted for over 6 months.

Main Results:

• The patient presented with diminished visual acuity and field loss.
• Combined radiotherapy and chemotherapy resulted in complete resolution of the choroidal metastasis.
• No recurrence was observed during the 6-month follow-up period.
• Useful vision was maintained in the affected eye.

Conclusions:

• Metastatic breast cancer to the choroid can be effectively managed with combined radiotherapy and chemotherapy.
• This treatment approach can lead to complete resolution and preserve useful vision.
• Ocular metastases, though serious, are often treatable with positive outcomes.