title: Orbital carcinoid metastasis: diverse presentations and value of indium-octreotide imaging.
abstract: OBJECTIVE
  To report two cases of orbital carcinoid metastasis (OCM) with diverse presentations and the role of Indium-Octreotide scan in management of these patients.
  
  
  METHODS
  Clinical, histological and radiological findings and management of the two patients are described. Results are presented.
  
  
  CONCLUSIONS
  We wish to highlight the diversity of presentations in orbital carcinoid. One patient presented with headache, while the other presented with recurrent transient ptosis. To the best of our knowledge, there have been no previous reports of OCM presenting as transient ptosis. The value of Indium-Octreotide scan in detecting the true extent of systemic disease and reducing the need for biopsy in carcinoid tumour is discussed.
authors.affiliation: Department of Ophthalmology, University Hospitals of Coventry & Warwickshire NHS Trust, Coventry, UK. purnima.mehta2@uhcw.nhs.uk
authors.forename: Purnima
authors.initials: P
authors.lastname: Mehta
authors.forename: Sarmi
authors.initials: S
authors.lastname: Malik
authors.forename: Oludolapo
authors.initials: O
authors.lastname: Adesanya
authors.forename: David
authors.initials: D
authors.lastname: Snead
authors.forename: Harpreet
authors.initials: H
authors.lastname: Ahluwalia
mesh_terms: D001706:Biopsy; D002276:Carcinoid Tumor / Q000000981:diagnostic imaging* / Q000556:secondary*; D005260:Female; D006801:Humans; D007078:Ileal Neoplasms / Q000473:pathology*; D033162:Incidental Findings; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009382:Neoplasms, Unknown Primary / Q000473:pathology*; D015282:Octreotide / Q000031:analogs & derivatives*; D009918:Orbital Neoplasms / Q000000981:diagnostic imaging* / Q000556:secondary*; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D014057:Tomography, X-Ray Computed
chemical_list: D019275:Radiopharmaceuticals; C094279:indium-111-octreotide; D015282:Octreotide