A RARE CASE OF VITREOUS HEMORRHAGE AND NEOVASCULAR GLAUCOMA AS A MANIFESTATION OF NON SMALL CELL LUNG ADENOCARCINOMA WITH CHOROIDIAL METASTASIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 27
Abstract
[b] BACKGROUND[/b]: Tumor metastasis to the eye is a rare complication of lung cancer. Metastasis to the choroid in patients with lung cancer is associated mainly with small cell carcinoma. Hemorrhage is an unusual finding with choroidal metastatic disease. Single case reports have highlighted this rare association. [b]CASE: [/b]We report a rare case of non -small cell lung adenocarcinoma diagnosed on broncoscopic biopsy, presenting as choroidal metastasis with vitreous hemorrhage, unilateral retinal detachment and neovascular glaucoma. A 50years old non-smoker female, known case of non -small cell lung adenocarcinoma, presented with severe pain and sudden onset loss of vision in the left eye. She had signs of severe intraocular inflammation, elevated intraocular pressure and neovascular glaucoma. Based on the fundus, ultrasonography and M.R.I Brain findings the possibility of metastasis to the choroid, vitreous hemorrhage with serous exudative retinal detatchment was kept. Vitreous tap revealed vitreous hemorrhage. [b]CONCLUSION:[/b] Vitreous hemorrhage due to choroidal metastasis as a symptom of lung cancer is very uncommon. A great index of suspicion is essential when a choroidal lesion appears in the eye of a patient of cancer, as it is associated with numerous complications. The aim should be improving, stabilizing and preventing the vision related complications by early treatment with radiation therapy
Authors and Affiliations
Rajput G. C, Deepti Mahajan, Chaudhary K. P, Sood T
Keywords
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- EP ID EP153830
- DOI 10.14260/jemds/2014/2926
- Views 73
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