A Rare Ocular Presentation of Metastatic Lung Cancer: Unilateral Anterior Chamber Angle, Bilateral Choroidal, and Multiple Intracranial Metastases.
A 64-year-old man who presented with photopsia was found to have elevated intraocular pressure in one eye and optic disc swelling in the other eye. He was initially diagnosed with neurocysticercosis and later metastatic lung adenocarcinoma. The purpose of this paper is to report a rare case of bilateral glare as the first sign of diffusely metastatic cancer and to raise clinical suspicion for systemic malignancy in the presence of multiple ocular manifestations.
*University of Central Florida College of Medicine, Orlando, FL †Department of Ophthalmology, Kittner Eye Center, University of North Carolina School of Medicine ‡Triangle Ophthalmology, Chapel Hill, NC.
Amber
A
Hoang
Kay T
KT
Khine
O'Rese J
OJ
Knight
Rachel A
RA
Tesser
David A
DA
Chesnutt
D000230:Adenocarcinoma / Q000473:pathology* / Q000556:secondary; D000077192:Adenocarcinoma of Lung; D000867:Anterior Chamber / Q000473:pathology*; D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary*; D001932:Brain Neoplasms / Q000175:diagnosis / Q000556:secondary*; D002830:Choroid Neoplasms / Q000175:diagnosis / Q000556:secondary*; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D008113:Liver Neoplasms / Q000175:diagnosis / Q000556:secondary*; D008175:Lung Neoplasms / Q000473:pathology* / Q000556:secondary; D008207:Lymphatic Metastasis; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010211:Papilledema / Q000175:diagnosis; D014792:Visual Acuity / Q000502:physiology