García-Fernández M, Burgueño-Montañés C
Servicio de Oftalmología, Hospital Universitario Central de Asturias, Oviedo, España.
Servicio de Oftalmología, Hospital Universitario Central de Asturias, Oviedo, España.
Arch Soc Esp Oftalmol. 2014 Jan;89(1):38-41. doi: 10.1016/j.oftal.2013.01.013. Epub 2013 May 11.
A 59 year-old male, with the diagnosis of lung adenocarcinoma stage iv, following palliative systemic chemotherapy treatment. He was referred to our department due to bilateral blurred vision. In the eye-fundus we observed: bilateral choroidal metastases with macular involvement, and in optical coherence tomography (OCT): neurosensory detachment in both eyes. This neurosensory detachment showed improvement with chemotherapy before the clinical and radiologic improvement.
OCT could be a great tool in order to predict the response to systemic treatment in cases of lung adenocarcinoma associated with choroidal metastases.
一名59岁男性,诊断为IV期肺腺癌,接受了姑息性全身化疗。因双眼视力模糊转诊至我科。在眼底检查中我们观察到:双侧脉络膜转移伴黄斑受累,光学相干断层扫描(OCT)显示:双眼神经感觉层脱离。这种神经感觉层脱离在临床和影像学改善之前,化疗后有所改善。
对于伴有脉络膜转移的肺腺癌病例,OCT可能是预测全身治疗反应的重要工具。