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2025, Vol. 7, Issue 1, Part E
Choroidal metastasis from lung cancer: A case report
Author(s): Saket Deshmukh, Farheen Maniyar, Priyanka YS, Parvathi MS and Feby Elias
Abstract:
Choroidal
metastasis is the most common type of intraocular tumor in adults.Primary
cancer that most commonly lead to choroidal metastases include breast cancer
and lung cancer. However, ocular symptoms as an initial manifestation of
systemic malignancy are rare and often pose a diagnostic challenge. We report
the case of a 67-year-old male who presented with progressive diminution of
vision and hemianopia in the right eye for 20 days, accompanied by headache and
left-sided chest pain. Comprehensive ophthalmic evaluation, including fundus
examination and imaging, revealed signs consistent with choroidal involvement
and bullous retinal detachment. Subsequent CT imaging of the brain and thorax
confirmed a hyperdense lesion in the right globe and multiple expansile lytic
lesions with soft tissue components in both lungs. A diagnosis of stage IV lung
carcinoma with choroidal metastasis was established. Systemic chemotherapy was
initiated; however, the patient succumbed to the illness before the second
cycle. This case highlights the need for prompt recognition of atypical ocular
presentations as potential indicators of advanced systemic malignancy. Early
diagnosis and multidisciplinary evaluation are essential for guiding management
and potentially improving both visual and systemic outcomes.
DOI: 10.22271/27081494.2025.v7.i1e.178
Pages: 261-263 | Views: 112 | Downloads: 49
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How to cite this article:
Saket Deshmukh, Farheen Maniyar, Priyanka YS, Parvathi MS, Feby Elias. Choroidal metastasis from lung cancer: A case report. Int J Case Rep Surg 2025;7(1):261-263. DOI: 10.22271/27081494.2025.v7.i1e.178
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