Unilateral Optic Nerve Head and Choroidal Metastases from a Bronchial Carcinoma
作者:
S.S. Hayreh,
F.C. Blodi,
N.N. Silbermann,
T.B. Summers,
P.H. Potter,
期刊:
Ophthalmologica
(Karger Available online 1982)
卷期:
Volume 185,
issue 4
页码: 232-241
ISSN:0030-3755
年代: 1982
DOI:10.1159/000309248
出版商: S. Karger AG
关键词: Optic nerve;Optic disc edema;Choroid;Metastasis;Bronchial carcinoma
数据来源: Karger
摘要:
A 61-year-old man presented with uniocular gradually progressive visual loss, pain in the eye, visual acuity of 6/60, markedly constricted visual fields, optic disc edema, retinal pigment epithelial disturbance at the posterior pole, and markedly delayed filling of the choroid on angiography, with a normal fellow eye. He had suffered from recurrent seizures for 15 years, with some evidence of cortical demyelination. Erythrocyte sedimentation rate was elevated. About 5 months after the onset of visual disturbance, evidence of bronchial carcinoma became apparent and he died 6 weeks later. The etiology of his ocular lesions was established only by histopathological evidence of metastases into the optic nerve head and the choroid. Diagnostic problems presented by the ocular findings are discussed.
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