A RARE CASE OF VITREOUS HEMORRHAGE AND NEOVASCULAR GLAUCOMA AS A MANIFESTATION OF NON SMALL CELL LUNG ADENOCARCINOMA WITH CHOROIDIAL METASTASIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 27
Abstract
[b] BACKGROUND[/b]: Tumor metastasis to the eye is a rare complication of lung cancer. Metastasis to the choroid in patients with lung cancer is associated mainly with small cell carcinoma. Hemorrhage is an unusual finding with choroidal metastatic disease. Single case reports have highlighted this rare association. [b]CASE: [/b]We report a rare case of non -small cell lung adenocarcinoma diagnosed on broncoscopic biopsy, presenting as choroidal metastasis with vitreous hemorrhage, unilateral retinal detachment and neovascular glaucoma. A 50years old non-smoker female, known case of non -small cell lung adenocarcinoma, presented with severe pain and sudden onset loss of vision in the left eye. She had signs of severe intraocular inflammation, elevated intraocular pressure and neovascular glaucoma. Based on the fundus, ultrasonography and M.R.I Brain findings the possibility of metastasis to the choroid, vitreous hemorrhage with serous exudative retinal detatchment was kept. Vitreous tap revealed vitreous hemorrhage. [b]CONCLUSION:[/b] Vitreous hemorrhage due to choroidal metastasis as a symptom of lung cancer is very uncommon. A great index of suspicion is essential when a choroidal lesion appears in the eye of a patient of cancer, as it is associated with numerous complications. The aim should be improving, stabilizing and preventing the vision related complications by early treatment with radiation therapy
Authors and Affiliations
Rajput G. C, Deepti Mahajan, Chaudhary K. P, Sood T
MRI FINDINGS IN PATIENTS WITH LOW BACKACHE- OUR EXPERIENCE
BACKGROUND Low backache is an increasingly common pathological condition that is becoming more frequent with increasing mean life expectancy with high costs for society. It has many causes among which degenerative, neopl...
EFFECTS OF NUTRITION AND HYGIENE IN PATIENTS SUFFERING FROM ACUTE VIRAL FEVER WITHOUT/WITH LOW PLATELET COUNT
BACKGROUND Nutrition and Sanitation are essential for good health and public well-being. With changing demographics, urbanisation and rural dynamics, a renewed thrust is being given to ensure balanced nutrition and good...
SPINDLE CELL CARCINOMA OF NOSE - A CASE REPORT
Spindle cell carcinoma is a rare variant of squamous cell carcinoma. The most frequently affected site is larynx, however, it may infrequently occur in various organs; gingiva, tongue, upper aerodigestive tract...
NEONATAL DERIVED MESENCHYMAL STEM CELLS CAN BE ISOLATED FROM HUMAN UMBILICAL CORD WHARTON’S JELLY BUT NOT FROM HUMAN UMBILICAL CORD BLOOD
BACKGROUND A successful isolation of Mesenchymal Stem Cells (MSCs) for its clinical application is very important. Isolation of MSCs from neonatal sources like human Umbilical Cord Wharton’s Jelly (hUCWJ) have been repor...
A COMPARATIVE STUDY OF EARLY REMOVAL VERSUS CONVENTIONAL PRACTICE OF FOLEY'S CATHETER REMOVAL AFTER TRANSURETHRAL RESECTION OF PROSTATE
BACKGROUND Benign prostatic hyperplasia is a common cause of concern in most of the elderly men because of the morbid problems that it gives rise to and is of great concern especially because of the problems of obstructi...