Histopathologically proven mucinous cystadenocarcinoma metastatic to the choroid.
OBJECTIVE
To report the first case of conventional transcleral choroidal biopsy in the diagnosis of ovarian carcinoma metastatic to the choroid and to summarize the published cases of ovarian carcinoma metastatic to the choroid.


METHODS
Case report and Medline literature review.


RESULTS
This is the tenth case reported in the literature and the only case that underwent conventional transcleral choroidal biopsy. Transcleral choroidal biopsy allowed the diagnosis of metastatic mucinous cystadenocarcinoma of the ovary. Choroidal metastases are not associated with central nervous system involvement; however, investigations may reveal distal boney or pulmonary metastases.


CONCLUSIONS
Ovarian carcinoma rarely metastases to the choroid and unlike breast carcinoma, concurrent central nervous system disease has not been reported. When systemic investigations fail to reveal active intraperitoneal disease or distal metastases, the clinician should consider referral to an ocular oncology center for a choroidal biopsy.
From the *Ocular Oncology Service, Moorfields Eye Hospital, London, UK; and †The Institute of Ophthalmology, London. UK.
Robert H
RH
Henderson
Victoria M
VM
Cohen
Pamela P
PP
Rath
Philip
P
Luthert
John L
JL
Hungerford