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Scholars Journal of Medical Case Reports | Volume-4 | Issue-01
Choroidal metastasis- First sign of breast carcinoma recurrence
Sivagurunathan Premala-Devi, Raja-Omar Raja-Norliza, Embong Zunaina
Published: Jan. 30, 2016 |
197
186
DOI: 10.36347/sjmcr.2016.v04i01.014
Pages: 38-40
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Abstract
Intraocular metastases are the most common malignancy of the eye but yet it is rarely seen. We report a case of choroidal metastases from treated invasive ductal carcinoma of the breast, course of the disease and current modalities of treatment. A 65-year-old female was diagnosed with left invasive ductal carcinoma of the breast in mid 2012. She underwent left radical mastectomy and chemotherapy. Patient was symptoms free for 2 years till she presented with sudden onset of painless blurring of vision on the right eye. On ocular examination, her right visual acuity was counting fingers with presence of relative afferent pupillary defect. Funduscopy examination revealed multiple white choroidal lesions temporal to fovea. Systemic examination showed that she had lung and liver metastases. Unfortunately, prior to commencement of chemotherapy patient succumbed to the disease.