Paraneoplastic exudative retinal detachment associated with adenocarcinoma of the lung.
OBJECTIVE
To report a case of bilateral paraneoplastic exudative retinal detachment (ERD) associated with asymptomatic adenocarcinoma of the lung.


METHODS
Case report.


RESULTS
A 47-year-old man presented with bilateral ERD accompanied by anterior and posterior segment inflammation. Extensive investigations for local and systemic causes of ERD were unrewarding. Only when computed tomography scanning of the thorax was performed were enlarged thorax lymph nodes demonstrated and revealed biopsy-proven adenocarcinoma.


CONCLUSIONS
Paraneoplastic phenomena should be considered in patients presenting with ERD. Ocular paraneoplastic pathologies may be the initial manifestation of an underlying malignancy.
Burgess
Philip I
PI
Royal Liverpool University Hospital, Liverpool, UK. philipburgess@doctors.org.uk
Kenawy
Nihal
N
Pearce
Ian A
IA
D000230:Adenocarcinoma / Q000150:complications* / Q000188:drug therapy / Q000473:pathology / Q000532:radiotherapy; D003131:Combined Modality Therapy; D004596:Electroretinography; D005122:Exudates and Transudates; D005451:Fluorescein Angiography; D007839:Functional Laterality; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications* / Q000188:drug therapy / Q000473:pathology / Q000532:radiotherapy; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010257:Paraneoplastic Syndromes / Q000209:etiology*; D012163:Retinal Detachment / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014821:Vitrectomy