Clinical case
- 54 year-old female patient
- Decreased visual acuity on the right eye for the past week
- 20/50 vision
- Past history of breast câncer (6 years before)
- Normal exams a year before
- Normal mamogram
- Using AROMASIN
what is the diagnosis?
- amelanotic melanoma
- posterior scleritis
- choroidal metastasis
- choroidal granuloma
Do you need other exams?
PET-CT SHOWING MULTIPLE METASTASIS
Would you ask for a systemic ckeck up?
What would you do?
How would you treat this patient?
A month later
20/400 OD AND 20/25 OS
PATIENT UNDERWENT SYSTEMIC CHEMOTHERAPY FOR THE TREATMENT OF THE OCULAR AND SYSTEMIC METASTASIS
- FEMALE 54 YEAR-OLD WITH A PRIOR HISTORY OF BREAST CANCER
DECREASED VISUAL ACUITY ON THE RIGHT EYE PRESENTING WITH NA AMELANOTIC CHOROIDAL MASS. - PATIENT UNDERWENT SYSTEMIC INVESTIGATION WHICH CONFIRMED MULTIPLE SYSTEMIC METASTASIS AND WAS STARTED ON CHEMOTHERAPY.
- INTRAOCULAR METASTASIS IS THE MOST FREQUENT INTRAOCULAR TUMOR AND OCCUR THROUGH HEMATOGENOUS SPREAD. 90% OF CASES ARE OF CHOROIDAL INVASION AND 10% OCCURS IN THE IRIS AND CILLIARY BODY. PATIENTS NEED SYSTEMIC INVESTIGATION FOR MANY TIMES THERE ARE DISSEMINATED METASTACID DISEASE ANS PATIENT NEEDS SYSTEMIC TREATMENT.