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

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