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February 1967

Bronchogenic Carcinoma Metastatic to the Orbit

Author Affiliations

New York
From the departments of ophthalmology and pathology, the Mount Sinai School of Medicine and Elmhurst City Hospital, New York.

Arch Ophthalmol. 1967;77(2):214-216. doi:10.1001/archopht.1967.00980020216011

METASTASIS of carcinomas to the eye is uncommon. Even less frequent is metastasis of a carcinoma to the orbit. This case report illustrates certain biologic characteristics of bronchogenic carcinoma which may obscure from the ophthalmologist the true nature of the clinical process with which he is dealing.

Report of Case  A 59-year-old Negro male truck driver was admitted to the medical service of the Elmhurst City Hospital on May 17, 1965, because of hematemesis and melena. Roentgenograms revealed a gastric ulcer. A subtotal gastrectomy was done the day after admission. On pathologic examination, the lesion was a benign peptic ulcer.Postoperatively, we saw the patient because of blindness and ophthalmoplegia of the right eye of several weeks' duration. In early April 1965, approximately six weeks before his admission to Elmhurst City Hospital, the patient noted the rather sudden onset of severe orbital and periorbital pain on the right side. This