Cancer associated retinopathy with periphlebitis and bilateral vitreous hemorrhage.

INTRODUCTION

Cancer associated retinopathy (CAR) is an uncommon paraneoplastic syndrome associated with epithelial neoplasm. Ocular symptoms of this syndrome are varied.

CASE REPORT

A 40-year-old man with an existing smoking history noticed a bilateral visual loss.Fundus examination showed a bilateral vitreous hemorrhage.In the left eye, there were narrowed retinal arterioles and peripapillary neovessels. An X-ray chest revealed a lung lesion which on biopsy proved to be a bronchial squamous cell carcinoma. After conducting several explorations,we have diagnosed CAR.

CONCLUSION

Vitreous hemorrhage is one of the symptoms of CAR. Thus, systems review, searching for an extraocular cancer, X-ray chest and ERG are recommended in this case.