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Indian J Ophthalmol. 2019 Aug;67(8):1377-1380. doi: 10.4103/ijo.IJO_1699_18.

A report of orbital metastasis from a urinary bladder adenocarcinoma.

Author information

1
Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
2
Department of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Abstract

A 60-year-old man presented with sudden-onset proptosis of the left eye and intermittent diplopia of 2 months duration. Ophthalmic examination revealed bilateral eyelid retraction, left eye proptosis and a firm, non-tender mass (2 cm × 1.5 cm) in left supero-medial orbit with restricted extraocular movements. Contrast-enhanced computed tomography showed a well-defined, enhancing antero-medial orbital mass which was removed via anterior orbitotomy approach. The histopathology/immunohistochemistry showed adenocarcinoma; metastasis of urothelial origin. The oncology consultation and metastatic workup revealed a urinary bladder carcinoma with distant metastasis. Our patient expired within 6 months of diagnosis. The ophthalmic symptoms due to orbital metastasis may be the first presentation of some cancer patients.

KEYWORDS:

Eyelid retraction; orbital metastasis; proptosis; restriction of extraocular movements; urinary bladder adenocarcinoma

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