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Robert A. Catalano, MD; David Litoff, MD; Jerry A. Shields, MD

JAMA. 1990;264(8):1032.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A 45-year-old woman with a 1-year history of adenocarcinoma of the breast, metastatic to axillary lymph glands and both lungs, presented with a chief complaint of decreasing visual acuity. Examination revealed a best-corrected visual acuity of 20/50 in each eye. Isolated yellow subretinal masses, several disc diameters in size, with overlying pigment dispersion and serous retinal detachments were present in both eyes. Each macula was similarly affected (Fig 1).

A 57-year-old woman with a similar history presented with an amelanotic-appearing fluffy white mass in the temporal iris and an anterior chamber angle of her left eye, with seeding into the anterior chamber (Fig 2).

Both women had developed metastases to the vascular layer of the eye, the uvea. The uvea consists of the choroid posteriorly and the iris and ciliary body anteriorly. Metastases from adenocarcinoma can occur in either location, but more commonly involve the choroid.¹

Metastatic carcinoma to . . . [Full Text PDF of this Article]

Author Affiliations
Albany (NY) Medical College; Wills Eye Hospital and Jefferson Medical College of Thomas Jefferson University Philadelphia, Pa

Footnotes
Edited by Roxanne K. Young, Associate Editor.

Reprints not available.

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