First Author: F.Rodrigues PORTUGAL
Co Author(s): M. Ruão F. Trindade R. Pereira S. Moniz 0 0 0 0 0 0 0 0 0
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The uveal metastases are considered the main ocular malignant cancer. Although the most common metastatic tumors is being recognized long after the diagnosis of the primary tumor, often metastatic ocular symptoms preceding months or years the discovery of the tumor of origin.
Ophthalmology department of Hospital Central do Funchal
The authors describe the case of a 77 year old who resorted to consulting Ophthalmology by low AV OE and whose eye fundus examination revealed lesions consistent with metastatic uveal tumor.
Ophthalmologic examination showed BCVA of 8/10 OD and 4/10 OE . Fundus had multiple pigmented , with detachment of the neurosensory retina bilateral nodular lesions . At sonography showed multiple echogenic masses associated with choroidal detachment , mean internal reflectivity . The OCT showed loss of the normal architecture of the retina, with changes in the EPR with anterior displacement of the photoreceptor layer by subretinal fluid and RPE hiperreflectividade with thickening of the choriocapillaris complex. The patient was referred to the Internal Medicine study, being dignosticado a cancer of the lung, having started treatment with chemotherapy and being followed by periodic consultations of Ophthalmology for monitoring and surveillance.
This case highlights the importance of a complete ophthalmologic examination including ophthalmologic evaluation . Breast cancer and lung are those that produce ocular metastases more frequently. Therapeutic conduct is guided by the treatment of the primary tumor and may consist of simple monitoring or include chemotherapy, radiotherapy, laser photocoagulation, hormonal treatment or surgery. With the advances in cancer treatment and possible cure of cancer, ophthalmologic care provided to patients with cancer has proven crucial in order to provide you the quality of life with preservation of vision and eye comfort.