title: Meridional lenticular astigmatism associated with bilateral concurrent uveal metastases in renal cell carcinoma.
abstract: OBJECTIVE
  To demonstrate a case illustrating meridional lenticular astigmatism as a result of renal cell carcinoma uveal metastases.
  
  
  METHODS
  Case report with images.
  
  
  RESULTS
  Clinical findings and diagnostic testing of a patient with acquired meridional lenticular astigmatism are described. The refraction revealed best-corrected visual acuity of 20/20-1 OD (-2.50 + 0.25 × 090) and 20/50 OS (-8.25 + 3.25 × 075). Bilateral concurrent renal cell carcinoma metastases to the choroid and ciliary body are demonstrated by utilizing ultrasonography, ultrawidefield fluorescein angiography, and unique spectral-domain optical coherence tomography.
  
  
  CONCLUSIONS
  Metastatic disease should be included in the differential of acquired astigmatism. Spectral-domain optical coherence tomography, ultrawidefield fluorescein angiography, and ultrasonography have roles in delineating choroidal metastases.
authors.affiliation: Department of Ophthalmology, University of Florida College of Medicine, Jacksonville, FL, USA.
authors.forename: Joshua C
authors.initials: JC
authors.lastname: Priluck
authors.forename: Sandeep
authors.initials: S
authors.lastname: Grover
authors.forename: Kv
authors.initials: K
authors.lastname: Chalam