CYTOLOGICAL EXAMINATION of the aqueous humor established the presence of an ocular malignancy in a 64-year-old man who presented with "uveitis." The tumor was a mucoepidermoid carcinoma of the ciliary body considered to be metastatic from a squamous cell carcinoma of the lung. The part played by cytopathologic examination and the unusual nature of the ocular tumor are the principal features of the case report.
Report of a Case
For five months prior to admission, this 64-year-old white steel worker (06-65-93) was under ophthalmological care for chronic iridocyclitis of undetermined origin and secondary glaucoma. The condition was refractory to all treatment including topical and systemic corticosteroids, corticotropin, systemic antibiotics, and antituberculous therapy. The patient had a long history of cigarette smoking, morning cough, and an unexplained 4.5 kg (10 lb) weight loss during the course of the present illness.At the time of admission to the Ophthalmology Branch (March 23,
Morgan WE, Malmgren RA, Albert DM. Metastatic Carcinoma of the Ciliary Body Simulating UveitisDiagnosis by Cytologic Examination of Aqueous Humor. Arch Ophthalmol. 1970;83(1):54–58. doi:10.1001/archopht.1970.00990030056010