[Skip to Navigation]
August 1970


Author Affiliations

Atlantic Beach, Fla

Arch Ophthalmol. 1970;84(2):236. doi:10.1001/archopht.1970.00990040238021

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


To the Editor.  —In a recent clinicopathologic case report, "Metastatic Carcinoma Simulating a Postoperative Endophthalmitis" (Arch Ophthal83:59-60,1970), Levine and Williamson described a patient who developed a hypopyon one month after cataract extraction. Three months later, when the patient died, metastatic bronchogenic carcinoma in the iris was noted.The article left several important questions unanswered:

  1. Was the preoperative medical review of systems positive for respiratory or neurological complaints, a history of recent weight loss, or other symptoms suggestive of metastatic disease?

  2. Did the preoperative physical examination reveal any evidence of pulmonary or metastatic disease?

  3. Were the preoperative laboratory examinations suggestive of an ocult malignancy (anemia, abnormal liver function tests, elevated serum calcium level, etc)?

  4. What did the routine preoperative chest roentgenogram reveal?

  5. At the time the hypopyon was noted, were cervical or other lymph nodes palpable? What was the extent of the primary tumor?

  6. What other organs were involved

First Page Preview View Large
First page PDF preview
First page PDF preview
Add or change institution