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Wydanie 2/2017
str. 94 - 97

Wysiękowe odwarstwienie siatkówki jako pierwszy objaw rozsianej choroby nowotworowej płuc – przegląd literatury

Exudative Retinal Detachment as the First Symptom of Metastatic Lung Cancer – Literature Review

Anna Modrzejewska, Karol Krzystolik, Anna Machalińska, Wojciech Lubiński, Monika Modrzejewska

Katedra i Klinika Okulistyki Pomorskiego Uniwersytetu Medycznego w Szczecinie
Kierownik: prof. dr hab. n. med. Wojciech Lubiński

Summary: The paper presents an up-to-date review of the literature concerning exudative retinal detachment accompanying neoplastic diseases available in the PUBMED database (1967–2017). The most frequent ophthalmological symptom of a disseminated neoplastic lung disease is metastases to the choroid. The signs of metastatic lesions manifesting in the eyeball may include: metamorphopsias, blurred vision, deterioration of visual acuity and pain. In routine ophthalmological examinations the metastatic focus is present in the form of a yellow or brown and grey dome-shaped lesion elevating the retina, which may be accompanied by exudative retinal detachment. The literature describes rare cases of exudative retinal detachment as the first symptom of disseminated neoplastic disease without visible metastatic lesions in the eyeball. In differential diagnostics the following examinations are utilized: ultrasonography, fluorescein angiography, optical coherence tomography, as well as laboratory and image tests of other organs (chest, abdominal cavity, brain). The treatment of metastases to the choroid involves local radiotherapy and is based on the treatment of the underlying condition with the use of chemotherapy, hormone therapy, immunotherapy, and radiotherapy. Exudative retinal detachment is treated with photodynamic and laser therapy as well as intravitreal anti vascular endothelial growth factor agents.

Słowa kluczowe: gruczolakorak, rak płuca, przerzuty, wysiękowe odwarstwienie siatkówki, gałka oczna.

Keywords: adenocarcinoma, lung cancer, metastases, exudative retinal detachment, eyeball.

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