A patient with choroidal metastases from invasive urothelial bladder cancer

Abstract

We aimed to present a patient with bilateral choroidal metastasis following bladder carcinoma due to its rarely occurence. A 56 years old male patient was consulted to our clinic complaining of blurred vision and vision loss. Best corrected vision acuity was measured as 0.3 in right eye and 0.6 in left eye. Fundus examination showed serous detachment in superior temporal quadrant including temporal edge of macula in right eye and in the inferior temporal quadrant of the left eye. Optic cohorence tomography showed a choridal mass elavating retina. In orbital MRIG an ellipsoidal mass with 10×5 mm size was detected in the posteriolateral part of the right globe. Methastasis in the lung and scalp tissue were detected with the patient who had been following for 3 years for bladder carcinoma. We speculated that choroidal mass and serous detachment could be owing to the metastasis of bladder carcinoma. Two weeks after the first dose of chemotherapy and radiotherapy patients died due to systemic metastases. Choroidal metastases are the most common intraocular tumours. Choroidal metastasis, secondary to urothelial carcinoma, is rarely seen and mostly effects individuals that are old and male. © 2016 Gazi Eye Foundation. All rights reserved.