This is a follow-up post from 6/6/22 of a 74YO female who initially presented with a several-week history of progressive vision loss in her right eye. Vision was counting fingers OD and 20/25 OS.
There was a known history of metastatic breast cancer when we diagnosed her with bilateral uveal metastases.
After three months of external beam radiotherapy, the metastatic choroidal lesions dramatically resolved. Vision improved to 20/50 OD and 20/25 OS.
Learning Points:
Although uveal melanoma is the most common primary intraocular malignancy, metastatic choroidal tumors are the most common intraocular malignancies. Lung and breast cancer are the most common sources.
