Burgess Philip I, Kenawy Nihal, Pearce Ian A
Royal Liverpool University Hospital, Liverpool, UK.
Eur J Ophthalmol. 2010 Sep-Oct;20(5):952-4. doi: 10.1177/112067211002000523.
To report a case of bilateral paraneoplastic exudative retinal detachment (ERD) associated with asymptomatic adenocarcinoma of the lung.
Case report.
A 47-year-old man presented with bilateral ERD accompanied by anterior and posterior segment inflammation. Extensive investigations for local and systemic causes of ERD were unrewarding. Only when computed tomography scanning of the thorax was performed were enlarged thorax lymph nodes demonstrated and revealed biopsy-proven adenocarcinoma.
Paraneoplastic phenomena should be considered in patients presenting with ERD. Ocular paraneoplastic pathologies may be the initial manifestation of an underlying malignancy.
