Ophthalmic manifestations of systemic cancer.

The incidence of ocular metastases is approximately 300,000 cases a year, most often from breast or lung primaries. Usually, the primary has already been diagnosed, and the appearance of ocular metastases is an ominous sign. Sometimes ocular metastases may be the first sign of a systemic primary. The authors describe what to expect on ophthalmological examination of a patient with cancer, and what the findings can tell you.