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Serous retinal detachment caused by a choroidal metastasis treated with subtenon triamcinolone injection
Author(s) -
EGEA ESTOPINAN MC,
PRIETO CALVO E,
GUERRI MONCLUS N,
RUIZ MORENO O
Publication year - 2009
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2009.353.x
Subject(s) - medicine , triamcinolone acetonide , fluorescein angiography , ophthalmology , metastasis , serous fluid , visual acuity , retinal , breast carcinoma , optical coherence tomography , retinal detachment , pathology , breast cancer , cancer
Purpose Ocular metastases are becoming less and less rare. Choroidal metastases are recognized as the most common intraocular malignancy. Most ocular tumors metastasize from systemic origins in breast carcinoma in females, and bronchial carcinoma in males Methods CASE REPORT A 44 years‐old woman with an history of breast adenocarcinoma three years ago, who complained of visual disturbance of the left eye. On initial examination, the left best‐corrected visual acuity (BCVA) was 0,3. Left fundoscopy revealed several elevated yellowish masses with peripapillary serous retinal detachment. The fluorescein retinal angiography showed a choroidal lesion highly suggestive of choroidal metastasis Results The patient was treated with subtenon triamcinolone intection. Five moths later the left BCVA was improved to 0.8. Funduscopy and optical coherence tomography confirmed reduction of edema Conclusion CONCLUSIONS Subtenon triamcinolone inyection reduced subretinal edema. Optical coherence tomography (OCT) is useful in the follow‐up of choroidal metastasis after treatment. However, some limitations result from the choroidal location of the metastasis.