Posters

Exsudative retinal detachment revealing a metastatic lung adenocarcinoma

Poster Details

First Author: Y.Moursli MOROCCO

Co Author(s): S. Chiguer   I. Bellamine   A. Mchachi   L. Benhmidoune   A. Chakib   M. Elbelhadji     

Abstract Details

Purpose:

Report a case of exudative retinal detachment revealing a metastatic lung Adenocarcinoma

Setting:

Adult ophtalmology department , hospital 20 aout

Methods:

A 62-year-old man presented with a 2-week history of acute reduction in visual acuity of right vision

Results:

On examination his visual acuities were hand movement right and 3/10 left. Horner syndrome was present, and ophthalmoscopy showed retinal detachment involving the right superior temporal quadrant, while the left retina was normal. The history included tabagism and thoracic pain evolving for 5 months’ ant threated with antalgics. B-scan ultrasound and thoracic abdominal CT Scan demonstrated a solid mass of the right pulmonary apex associated with hepatic and choroidal metastases. Bronchoscopic biopsies were performed with diagnosis of adenocarcinoma of the lung. The patient died after 3 months for rapid progression of the disease despite of combined chemotherapy treatment

Conclusions:

Choroidal metastases revealing a primary cancer are rare, they are poorly prognostic and must be sought in the presence of exudative retinal detachment in the presence of risk factors and antecedents suggestive of neoplasia The search for the primitive neoplasm must be done as quickly as possible to allow appropriate management and extend the survival of patients

Financial Disclosure:

None