University of Iowa Health Care

Ophthalmology and Visual Sciences

Metastatic Lung Cancer, Choroidal Tumors

Contributor: Jeffrey Welder, MD

Before images: Toni Venckus, CRA
After images: Stefani Karakas, CRA

right eye left eye
before Choroidal tumors, right eye Choroidal tumors, left eye

83-year-old male referred for decreased vision in the left eye for 10 days. Photos show choroidal lesions temporally right eye (OD) and a large lesion centrally left eye (OS). OCT showed subretinal fluid over the lesions and echo demonstrated high internal reflectivity. The patient was referred for malignancy workup and found to have metastatic lung cancer.

right eye left eye
after choroidal tumors, after treatemnt, right eye Choroidal tumors, after treatment, left eye

He subsequently underwent chemotherapy and multiple rounds of external beam radiation to both orbits. The photos demonstrate regression of the choroidal tumors. Patient was 20/20 OD and 20/25 OS at most recent follow-up.

Creative Commons License
Ophthalmic Atlas Images by, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

last updated: 06/17/2013