Unilateral temporal haemianopia in a patient with non-small cell lung cancer: intraocular metastasis despite chemotherapy.
A 70-year-old lady with non-small-cell lung cancer receiving chemotherapy presented with gradually worsening visual disturbance for 2 weeks. She had no history of seizures or weakness. Physical examination revealed an isolated left sided temporal haemianopia. A brain MRI performed on admission showed a new left intraocular lesion highly suspicious for metastasis. CT scan showed cancer disease progression despite chemotherapy. She was managed palliatively.
AAU, Watford General Hospital, Watford, Hertfordshire, UK.
Alexander
A
Liu
Harman
H
Saman
Pawan
P
Pusalkar
D000368:Aged; D002289:Carcinoma, Non-Small-Cell Lung / Q000556:secondary*; D003937:Diagnosis, Differential; D005134:Eye Neoplasms / Q000556:secondary*; D005260:Female; D006423:Hemianopsia / Q000209:etiology*; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy* / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D010166:Palliative Care; D014057:Tomography, X-Ray Computed