[Acute proptosis as first symptom of a lung carcinoma].
OBJECTIVE
We present the case of a 57-year-old patient who was visited in our ophthalmology department complaining of acute right ocular proptosis, fever and malaise. The clinical, ophthalmic and radiologic examination showed the presence of an extraconal orbital tumor as the cause of this exophthalmos.


CONCLUSIONS
Further complementary studies revealed a small cell carcinoma of the lung metastatic to the right orbit. We report the excellent response to chemotherapy both of the primary lung neoplasm and the orbital metastasis.
Castro Alonso FJ
Servicio de Oftalmología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España.
Carbonell Ruiz P
Palomar Gómez A
D000208:Acute Disease; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D005094:Exophthalmos / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009918:Orbital Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000556:secondary*; D011859:Radiography