Metastatic Bronchogenic Carcinoma of the Iris and Ciliary Body

Abstract

Tumor metastasis to the iris and ciliary body is a rare complication of lung neoplasia and, infrequently, can be the first sign of the primary malignancy. In these instances, distinguishing between a diagnosis of primary neoplasia and metastatic carcinoma can be difficult. In the case we report, it was necessary to enucleate the patient's eye to obtain information about the origin of the tumor and to exclude the rare possibility of a primary tumor. Report of a Case. —A 79-year-old man presented at our outpatient clinic complaining of progressive loss of vision, pain, and redness in his left eye during the previous 3 weeks. Ocular examination of the left eye showed corneal edema, an ocular pressure of 56 mm Hg, and a saddle-shaped tumor involving the iris in the superior-temporal quadrant. This mass filled much of the anterior chamber and also protruded posteriorly. A hypopyon occupied one fifth of the