Unilateral exophthalmos secondary to esophageal adenocarcinoma metastasis to the medial rectus muscle
| Autor: | J. Calvo Blanco, L. Fernández Díaz, P. Jiménez-Fonseca, K. Fernández Berdasco, C. Burgueño Montanés |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Diplopia
medicine.medical_specialty genetic structures Exophthalmos business.industry Medial rectus muscle Esophageal adenocarcinoma General Medicine Extraocular muscles medicine.disease eye diseases Metastasis 03 medical and health sciences 0302 clinical medicine Binocular Diplopia medicine.anatomical_structure 030220 oncology & carcinogenesis 030221 ophthalmology & optometry Medicine sense organs Radiology medicine.symptom business Orbit (anatomy) |
| Zdroj: | Archivos de la Sociedad Española de Oftalmología (English Edition). 94:510-513 |
| ISSN: | 2173-5794 |
| DOI: | 10.1016/j.oftale.2019.07.003 |
| Popis: | A case is presented on a 51-year-old man with stage IV oesophageal adenocarcinoma. The patient was referred by the Oncology Department urgently for a same-day assessment by an ophthalmologist due to two weeks of severe unilateral exophthalmos and binocular diplopia. A comprehensive eye exam revealed the presence of an axial non-reductive exophthalmos and a limitation in left eye levoduction. A computed tomography scan was performed that showed a multiple lobed, intra- and extra-conal, heterogeneous left orbital mass, that surrounded the internal rectus muscle, compatible with metastasis, as well as another small extraconal mass at the base of the contralateral orbit. Palliative radiotherapy was then indicated. Metastases in the extraocular muscles are a very rare finding, but should be suspected in a case of unilateral exophthalmos and, if necessary, refer the patient to have the corresponding complementary tests performed. |
| Databáze: | OpenAIRE |
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