DOI: 10.36347/sjmcr.2021.v09i07.015

Pages: 743-747

The most common site of ocular metastasis is the choroid. We report two cases of choroidal metastases (CM) revealing lung cancer. The first case is a 66-year-old patient consulting for reduced visual acuity. The fundus reveals a posterior pole choroidal mass. Ultrasound shows a weakly hyperhecogenic choroidal mass. Chest CT revealed the primary lung tumor. The second case is a 62-year-old woman consulting for reduced visual acuity in whom the fundus found a choroidal mass with sero-retinal detachment opposite. Fluorescein angiography, OCT, and ultrasound were in favor of choroidal metastasis. The lung CT scan revealed a lung tumor. Although uncommon, CM can be the initial manifestation of lung cancer. Their diagnosis is based on a range of clinical and paraclinical arguments. The treatment of CM with chemotherapy combined or not with ocular radiotherapy is often effective in disabling eye disorders. The aim of this work is to summarize the current knowledge on choroidal metastases, with an emphasis on epidemiology, diagnosis and treatment.