Jain Mukesh, Parameswarappa Deepika C
Anant Bajaj Retina Institute, MTC Campus, L V Prasad Eye Institute, Bhubaneswar, India.
Anant Bajaj Retina Institute, KAR Campus, L V Prasad Eye Institute, Hyderabad, India.
GMS Ophthalmol Cases. 2022 May 20;12:Doc13. doi: 10.3205/oc000200. eCollection 2022.
We report a case of a 65-year-old female who presented to us with diminution of vision in the right eye. She was only able to perceive light in the right eye, and the left eye had a vision of 20/20, N6. Anterior segment examination in both eyes was unremarkable except for senile cataract in the left eye. Posterior segment examination revealed features of choroidal metastasis in both eyes and exudative retinal detachment in the right eye. Multimodal imaging helped in the further confirmation of metastatic lesions. Right-eye fundus autofluorescence showed hyperautofluorescent lesions, ultrasound B-scan showed an elevated mass lesion in the choroid with moderate to high internal echogenicity, and optical coherence tomography showed a lumpy-bumpy appearance of the retinal pigment epithelium as well as an elevated choroidal mass lesion beneath it. On detailed systemic evaluation, the primary site of cancer was found to be the lungs. The patient was referred to a pulmonologist and an oncologist for chemotherapy and further management.
我们报告一例65岁女性，因右眼视力下降前来就诊。她右眼仅能感知光线，左眼视力为20/20，N6。双眼前段检查未见明显异常，仅左眼有老年性白内障。后段检查发现双眼有脉络膜转移特征，右眼有渗出性视网膜脱离。多模态成像有助于进一步确诊转移性病变。右眼眼底自发荧光显示高自发荧光病变，超声B超显示脉络膜有一个隆起的肿块病变，内部回声中等至较高，光学相干断层扫描显示视网膜色素上皮呈凹凸不平外观，其下方有一个隆起的脉络膜肿块病变。经详细的全身评估，发现癌症的原发部位是肺部。该患者被转诊至肺科医生和肿瘤学家处进行化疗及进一步治疗。
