Open AccessVitreous Metastasis in a Case of Metastatic Breast Cancer
Author(s) -
Rony Gelman,
Song Eun Lee,
Neuza Rocha,
Larisa G. Kayserman,
R. V. Vallar,
Brian P. Marr
Publication year - 2020
Publication title -
ocular oncology and pathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.444
H-Index - 10
eISSN - 2296-4681
pISSN - 2296-4657
DOI - 10.1159/000506949
Subject(s) - medicine , metastasis , optical coherence tomography , breast cancer , retinal , pathology , vitrectomy , vasculitis , cancer , radiology , disease , ophthalmology , visual acuity
A 35-year-old female with a history of metastatic breast cancer (BC) presented with unilateral blurred vision and floaters over 6 weeks. Examination findings showed vitreous opacities and a vasculitis concerning for an infectious process. Diagnostic vitrectomy revealed no infectious cause, but rather metastatic cells in the vitreous, with no obvious retinal or choroidal metastatic focus. In this report we illustrate a case of vitreous metastasis in a patient with metastatic BC, highlighting the importance of recognizing this rare entity which can mimic an inflammatory or infectious process. Novel to this report is the use of modern wide-field retinal imaging, spectral-domain optical coherence tomography, and a surgical video to document the findings of this disease entity.