title: Choroidal metastasis as the presenting feature in a case of testicular choriocarcinoma.
abstract: A twenty-six year old male with decreased vision in right eye was diagnosed with non-rhegmatogenous retinal detachment. Further evaluation revealed a yet undiagnosed left testicular mass found to be choriocarcinoma on histopathology. Chemotherapy resulted in complete remission; however, there was no improvement in vision. There is a substantial risk of visual loss in the presence of ocular metastatic lesions. Early detection and treatment is highly effective in terms of tumor control and a more favorable survival and visual outcome. The onus of the ocular diagnosis lies on the ophthalmologist. The presence of a testicular origin tumor must be considered in a young male with intraocular metastasis.
authors: Department of Neuro-Ophthalmology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
authors: Sukhdeep
authors: S
authors: Bains
authors: Anu
authors: A
authors: Jain
authors: Kumudini
authors: K
authors: Sharma
keywords: Choriocarcinoma of testis; Choroidal metastasis; Retinal detachment
references: Br J Ophthalmol. 2006 May;90(5):650-2
references: 16622101
references: Arch Ophthalmol. 2008 Jul;126(7):1008-9
references: 18625957
references: Arch Ophthalmol. 1974 Oct;92(4):276-86
references: 4412321
references: Ophthalmology. 1997 Aug;104(8):1265-76
references: 9261313