A 60-year-old man presented with sudden-onset proptosis of the left eye and intermittent diplopia of 2 months duration. Ophthalmic examination revealed bilateral eyelid retraction, left eye proptosis and a firm, non-tender mass (2 cm × 1. 5 cm) in left supero-medial orbit with restricted extraocular movements. Contrast-enhanced computed tomography showed a well-defined, enhancing antero-medial orbital mass which was removed via anterior orbitotomy approach. The histopathology/immunohistochemistry showed adenocarcinoma; metastasis of urothelial origin. The oncology consultation and metastatic workup revealed a urinary bladder carcinoma with distant metastasis. Our patient expired within 6 months of diagnosis. The ophthalmic symptoms due to orbital metastasis may be the first presentation of some cancer patients.
Indian journal of ophthalmology. 2019 Aug [Epub]
Deepti Yadav, Manpreet Singh, Kirti Gupta, Manpreet Kaur, Pankaj Gupta
Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India., Department of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.