Choroidal metastasis from renal cell carcinoma presenting with exudative retinal detachment

A 42-year-old Chinese man, known case of renal cell carcinoma with lung metastasis, was referred to Universiti Kebangsaan Malaysia Medical Centre for left eye blurring of vision for one month duration, which was worse upon waking up in the morning and cleared up after 1-2 hours. On examination, visu...

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Main Authors:	Hor, Shi Mei, Mushawiahti Mustapha
Format:	Article
Language:	English
Published:	Pusat Perubatan Universiti Kebangsaan Malaysia 2017
Online Access:	http://journalarticle.ukm.my/12274/ http://journalarticle.ukm.my/12274/ http://journalarticle.ukm.my/12274/1/13._hor_et_al.pdf

id	ukm-12274
recordtype	eprints
spelling	ukm-122742018-11-02T21:41:31Z http://journalarticle.ukm.my/12274/ Choroidal metastasis from renal cell carcinoma presenting with exudative retinal detachment Hor, Shi Mei Mushawiahti Mustapha, A 42-year-old Chinese man, known case of renal cell carcinoma with lung metastasis, was referred to Universiti Kebangsaan Malaysia Medical Centre for left eye blurring of vision for one month duration, which was worse upon waking up in the morning and cleared up after 1-2 hours. On examination, visual acuities were 6/6 in both eyes. No relative afferent pupillary defect. Left fundus showed inferonasal retinal detachment without macular involvement. No retina break, no retinitis and no choroidal lesion seen. Right eye examination was normal. Optical coherence tomography (OCT) of left eye showed subretinal fluid temporal and inferior to optic disc. Fundus fluorescein angiography (FFA) left eye showed hypofluoresence in early phase but hyperfluorescence with pin point leakage in late phase over inferonasal quadrant. Indocyanine green (ICG) showed early hypofluoresence with late pin point hyperfluoresence in the same quadrant. A clinical diagnosis of exudative retinal detachment due to choroidal metastasis secondary to renal cell carcinoma was made. The patient was planned for cyber-knife radiotherapy of his left eye but unfortunately we lost the follow up. High index of suspicion and relevant investigation are needed for patients with visual complaints and history of renal cell carcinoma to diagnose choroidal metastasis. Pusat Perubatan Universiti Kebangsaan Malaysia 2017 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/12274/1/13._hor_et_al.pdf Hor, Shi Mei and Mushawiahti Mustapha, (2017) Choroidal metastasis from renal cell carcinoma presenting with exudative retinal detachment. Journal of Surgical Academia, 7 (1). pp. 62-65. ISSN 2231-7481 http://jsurgacad.com/toc/7/1
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	A 42-year-old Chinese man, known case of renal cell carcinoma with lung metastasis, was referred to Universiti Kebangsaan Malaysia Medical Centre for left eye blurring of vision for one month duration, which was worse upon waking up in the morning and cleared up after 1-2 hours. On examination, visual acuities were 6/6 in both eyes. No relative afferent pupillary defect. Left fundus showed inferonasal retinal detachment without macular involvement. No retina break, no retinitis and no choroidal lesion seen. Right eye examination was normal. Optical coherence tomography (OCT) of left eye showed subretinal fluid temporal and inferior to optic disc. Fundus fluorescein angiography (FFA) left eye showed hypofluoresence in early phase but hyperfluorescence with pin point leakage in late phase over inferonasal quadrant. Indocyanine green (ICG) showed early hypofluoresence with late pin point hyperfluoresence in the same quadrant. A clinical diagnosis of exudative retinal detachment due to choroidal metastasis secondary to renal cell carcinoma was made. The patient was planned for cyber-knife radiotherapy of his left eye but unfortunately we lost the follow up. High index of suspicion and relevant investigation are needed for patients with visual complaints and history of renal cell carcinoma to diagnose choroidal metastasis.
format	Article
author	Hor, Shi Mei Mushawiahti Mustapha,
spellingShingle	Hor, Shi Mei Mushawiahti Mustapha, Choroidal metastasis from renal cell carcinoma presenting with exudative retinal detachment
author_facet	Hor, Shi Mei Mushawiahti Mustapha,
author_sort	Hor, Shi Mei
title	Choroidal metastasis from renal cell carcinoma presenting with exudative retinal detachment
title_short	Choroidal metastasis from renal cell carcinoma presenting with exudative retinal detachment
title_full	Choroidal metastasis from renal cell carcinoma presenting with exudative retinal detachment
title_fullStr	Choroidal metastasis from renal cell carcinoma presenting with exudative retinal detachment
title_full_unstemmed	Choroidal metastasis from renal cell carcinoma presenting with exudative retinal detachment
title_sort	choroidal metastasis from renal cell carcinoma presenting with exudative retinal detachment
publisher	Pusat Perubatan Universiti Kebangsaan Malaysia
publishDate	2017
url	http://journalarticle.ukm.my/12274/ http://journalarticle.ukm.my/12274/ http://journalarticle.ukm.my/12274/1/13._hor_et_al.pdf
first_indexed	2023-09-18T20:02:14Z
last_indexed	2023-09-18T20:02:14Z
_version_	1777406925790511104

Choroidal metastasis from renal cell carcinoma presenting with exudative retinal detachment

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