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CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2012; 33(01): 48-50
DOI: 10.4103/0971-5851.96969
CASE REPORT

Bilateral visual blurring as the first symptom of extra-cranial metastatic lung carcinoma

Kumar Prabhash
Department of Medical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Avinash Pandey
Department of Medical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Ranajit Kar
Department of Radiation Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Anusheel Munshi
Department of Radiation Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Vanita Naronah
Department of Medical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Jai Prakash Agarwal
Department of Radiation Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
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Abstract

Symptomatic choroidal metastasis in a know case of metastatic lung carcinoma is rare. However recent onset blurring of vision in patient of lung carcinoma should raise strong suspicion for choroidal metastasis. Thorough ophthalmological evaluation including bilateral visual activity, fundoscopy, ultrasonography and magnetic resonance imaging of orbit should be done to establish the diagnosis, palliative external beam radiotherapy given for symptomatic choroidal metastasis leads to preservation of useful vision and functional independence if detected early and hence improved quality of life. We report a case of bilateral symptomatic choroidal metastasis at first sign of lung carcinoma with significant improvement of vision bilaterally after palliative radiotherapy.

Keywords

Lung carcinoma - visual blurring - palliative orbital radiotherapy


Publication History

Article published online:
13 April 2022

© 2012. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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