Retina
Case 36
Patient Presentation: A 58-year-old male presented to clinic with a 3-month history of painless loss of vision OS. Visual acuity on presentation was 20/20 OD and 20/70 OS; no RAPD. Fundus photo and OCT OS were performed and shown below.
Question: What abnormality is visualized in the patient's OCT image?
Question: What is the most likely diagnosis based on these OCT features?
Question: What is the most common site of ocular metastasis?
Question: What treatment is NOT commonly administered for choroidal metastases?
Learning Objectives:
1. To appreciate the risk of choroidal metastasis in patients with late stage non-small cell lung cancer
2. To recognize and diagnose choroidal metastasis on OCT and fundoscopy
3. To understand associated symptoms and treatment of choroidal metastasis