Manor R S, Yassur Y, Ben-Sira I
Br J Ophthalmol. 1978 Feb;62(2):122-9. doi: 10.1136/bjo.62.2.122.
A large choroidal metastasis was diagnosed in the right eye of a 44-year-old man referred for admission to hospital because of 'retinal detachment.' At the same time in the second, symptomless, eye a very small metastasis was observed. Close follow-up during the next month showed an extremely rapid deterioration of visual acuity and visual field in this eye. This is thought to be characteristic of such metastatic tumours in contrast to the slower progress of choroidal malignant melanoma. The application of local radiotherapy to the same eye led to an impressive improvement in the visual acuity and visual field. The source of these bilateral choroidal metastases, which was found only after the patient's death, proved to a bronchial carcinoma.
一名44岁男性因“视网膜脱离”入院，右眼被诊断出患有一个大的脉络膜转移瘤。与此同时，在其无症状的另一只眼中发现了一个非常小的转移瘤。在接下来的一个月里密切随访发现，这只眼睛的视力和视野急剧恶化。与脉络膜恶性黑色素瘤进展较慢相比，这被认为是此类转移瘤的特征。对同一只眼睛进行局部放疗后，视力和视野有了显著改善。这些双侧脉络膜转移瘤的来源直到患者死后才被发现，原来是支气管癌。
