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Abstract #56486 Published in IGR 16-1

A case study of unusual etiology of anterior uveitis with ocular hypertension-iris metastasis of primary lung adenocarcinoma

Lin AD; Wong WK
Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health 2014; 73: 89-90


This is a case of anterior uveitis in a 50 year-old man caused by lung adenocarcinoma metastasis to the iris. The patient was initially worked up for pneumonia and was discovered to have multiple lung lesions on computed tomography scan. Prior to discharge, the patient began complaining of ocular redness, pain, photophobia and decreased visual acuity. The patient was given an initial diagnosis of anterior uveitis with uveitic glaucoma, which was later confirmed to be secondary to lung adenocarcinoma metastasis to the iris. Metastasis to the iris is a particularly rare cause of anterior uveitis and may inadvertently be left out of a physician's differential diagnosis. This case illustrates a rare, but clinically important cause of anterior uveitis with intraocular hypertension, which should be considered in all cases of ocular redness and pain.


Classification:

9.4.8 Glaucomas associated with intraocular tumors (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
9.4.6 Glaucomas associated with inflammation, uveitis (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)



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