Neovascular glaucoma as the presenting sign of metastatic small cell lung carcinoma.
OBJECTIVE
The purpose of this study is to describe a case of metastatic lung cancer presenting with neovascular glaucoma.


METHODS
This was a retrospective chart review describing one case.


RESULTS
A previously healthy 36-year-old man presented with light perception vision and painful neovascular glaucoma. Examination and ultrasound showed a complete retinal detachment overlying a dome-shaped choroidal mass. After enucleation, histopathology showed findings consistent with small cell lung carcinoma metastasis. Oncologic evaluation showed a necrotic lung carcinoma with extensive bony metastases.


CONCLUSIONS
Metastatic carcinoma to the eye can manifest with features of neovascular glaucoma.
From the *Retina Service, †Ocular Oncology Service, and ‡Department of Pathology, Wills Eye Institute, Thomas Jefferson University, Philadelphia, Pennsylvania.
Chirag P
CP
Shah
Gary
G
Shienbaum
Carol L
CL
Shields
Ralph C
RC
Eagle
Sara
S
Lally
Jerry A
JA
Shields