[Choroidal metastasis simulating uveal effusion syndrome: case report].
We report a case of choroidal metastasis simulating uveal effusion syndrome. This patient with uveal metastasis from lung carcinoma presented with decreased vision in the left eye. Fundoscopic examination revealed pigmentary clumping, multiple choroidal nodules and serous retinal detachment. Fluorescein angioraphy revealed a leopard spots pattern similar to uveal effusion syndrome. Ultrasound revealed the presence of choroidal nodules with moderate internal reflectivity, choroidal thickening and serous retinal detachment. Optical coherence tomography showed retinal pigment epithelium tear and hyper-reflective nodules within the choroid and areas of serous retinal detachment. Image investigation demonstrated the presence of a solitary pulmonary nodule at the left apical lung. Choroidal metastasis can lead to a scenario that simulates uveal effusion syndrome. This possibility must be considered when having an atypical uveal effusion symptomatoloy and a systemic screening for systemic cancer should be performed.
Departamento de Retina e Vítreo, Hospital do Olho Rio Preto, São José do Rio Preto, SP, Brasil. drcury@hotmail.com
Carlos Eduardo
CE
Cury Júnior
Alexandre
A
Cury Júnior
Rubens Camargo
RC
Siqueira
Cíntia
C
Storti
D000368:Aged; D002830:Choroid Neoplasms / Q000175:diagnosis / Q000556:secondary*; D003937:Diagnosis, Differential; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging; D011859:Radiography; D013577:Syndrome; D041623:Tomography, Optical Coherence; D014603:Uveal Diseases / Q000175:diagnosis*