Department of Ophthalmology, Zhejiang Medicine and Western Medicine Integrated Hospital, Hangzhou Red-Cross Hospital.
The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China.
Medicine (Baltimore). 2021 Mar 12;100(10):e24910. doi: 10.1097/MD.0000000000024910.
Ocular metastasis of renal cell carcinoma (RCC) is rare, and mainly located on the choroid. We report a choroidal metastasis from RCC, which was recorded by a smartphone with an interface eyepiece adapter mounted on a slit lamp.
A 45-year-old female presented with 1-month history of painless occlusion of the vision field on the left eye, who had undergone right nephrectomy for RCC 19 months ago.
A smooth, hemispherical and brown protrusion was found behind the pupil nasally. An enhanced computed tomography scan of the orbit showed a slightly high-density hemispherical nodule involving the nasal portions of the left eyeball, the enhancement of the lesion was obvious and homogeneous. A metastatic choroidal space-occupying lesion from RCC was highly suspected according to the clinical and radiological findings.
The patient was advised to undergo further treatment, such as radiotherapy.
The images of choroid metastasis were recorded by the smartphone with the interface eyepiece adapter mounted on the slit lamp handily.
The smartphone with an interface eyepiece adapter mounted on the slit lamp can be widely used to record the precious images in the clinic in a timely manner.
肾细胞癌（RCC）的眼部转移较为罕见，主要位于脉络膜。我们报告了一例 RCC 脉络膜转移，该转移病例是通过安装在裂隙灯上的接口目镜适配器的智能手机记录下来的。
一名 45 岁女性因左眼无痛性视野缺损 1 个月就诊，19 个月前因 RCC 行右侧肾脏切除术。
在瞳孔鼻侧发现一个光滑的半球形棕色隆起。眼眶增强 CT 扫描显示左眼眼球鼻侧有一个略高密度的半球形结节，累及该部位，病变增强明显且均匀。根据临床和影像学表现，高度怀疑为 RCC 脉络膜占位性转移病变。
建议患者行进一步治疗，如放疗。
方便地通过安装在裂隙灯上的接口目镜适配器的智能手机记录了脉络膜转移的图像。
安装在裂隙灯上的接口目镜适配器的智能手机可广泛用于及时记录临床中的珍贵图像。
