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August 1969

Metastatic Carcinoma to the Choroid With Choroidal DetachmentA Case Presenting as Uveal Effusion

Author Affiliations

From the Massachusetts Eye and Ear Infirmary, Boston. Dr. Krieger is now at Harbor General Hospital, Torrance, Calif.

Arch Ophthalmol. 1969;82(2):209-213. doi:10.1001/archopht.1969.00990020211011

SPONTANEOUS choroidal detachment may occur without previous ocular surgery or trauma. A nonrhegmatogenous retinal detachment may coexist. This somewhat unusual clinical complex has been noted in many specific disease states. Often, however, no clear cause is apparent. The following case report deals with a patient whose metastatic carcinoma presented initially as a choroidal detachment with nonrhegmatogenous retinal detachment.

Report of a Case  A 57-year-old white man was seen two weeks after the onset of pain and decreased vision in his right eye. The medical and ophthalmic history was not relevant. Vision in the right eye was 20/30. The anterior chamber was shallow and contained aqueous flare and cells. The lens was displaced slightly forward. With mydriasis the chamber deepened. Indirect ophthalmoscopy (Fig 1) revealed extensive choroidal detachment involving the periphery for 360°. The peripheral areas transilluminated well. There were two isolated areas of "choroidal detachment" above the disc with overlying

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