A Rare Ocular Presentation of Metastatic Lung Cancer: Unilateral Anterior Chamber Angle, Bilateral Choroidal, and Multiple Intracranial Metastases

J Glaucoma. 2017 Feb;26(2):e93-e95. doi: 10.1097/IJG.0000000000000518.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / pathology*
  • Adenocarcinoma / secondary
  • Adenocarcinoma of Lung
  • Anterior Chamber / pathology*
  • Bone Neoplasms / diagnosis
  • Bone Neoplasms / secondary*
  • Brain Neoplasms / diagnosis
  • Brain Neoplasms / secondary*
  • Choroid Neoplasms / diagnosis
  • Choroid Neoplasms / secondary*
  • Humans
  • Intraocular Pressure / physiology
  • Liver Neoplasms / diagnosis
  • Liver Neoplasms / secondary*
  • Lung Neoplasms / pathology*
  • Lung Neoplasms / secondary
  • Lymphatic Metastasis
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Papilledema / diagnosis
  • Visual Acuity / physiology