Choroidal and optic disk metastases of a laryngeal carcinoma.
OBJECTIVE
To report a case of laryngeal squamous carcinoma metastatic to the eye affecting the choroid and optic nerve.


METHODS
A 58-year-old man complained of sudden decrease of visual acuity in his left eye on admission to the emergency room. One year previously, he had undergone a surgical removal of laryngeal carcinoma. Funduscopic examination detected a choroidal mass in the macular area.


RESULTS
After 10 days, the patient complained of pain and a diminished visual acuity and presented an exudative retinal detachment and optic nerve infiltration.


CONCLUSIONS
Metastatic tumors are the most common intraocular malignancies, and the choroid is by far the most frequent location for the intraocular metastases. Metastases from a laryngeal carcinoma are quite unusual. Lesions affecting both choroid and optic nerve are extremely rare.
From the Department of Ophthalmology, Instituto Aragonés de Ciencias de la Salud, Miguel Servet Universitary Hospital, Zaragoza, Spain.
Elena
E
Garcia-Martin
Isabel
I
Pinilla
Eva G
EG
Alias
Miriam
M
Idoipe