DR. DISHA SALUNKE

DR. LAHANE TATYARAO PUNDLIKRAO, DR. RAGINI HASMUKURAY PAREKH, DR SUMEET LAHANE

Abstract

Ocular metastatic lesions from head to neck region are rare. Uvea being highly vascular structure is also a common site of metastasis in systemic malignancies. Cases of uveal metastasis have been reported from almost all the organs of the body with breast and lung being the most common primary origin. Metastasis to the eye and adnexa are generally found in the intraocular structures (64%), orbit (29%), optic nerve (3%), and eyelids (2%) and usually present in the late course of the disease. We report to you a case of A 55 years old male patient who presented with loss of vision, pain, and proptosis of the left eye. The patient was known case of laryngeal squamous carcinoma underwent laryngectomy 1 and half years back followed by chemoradiation. A Well defined scleral nodule extending from limbus to optic nerve was noted. Even after successful treatment of primary lesion he developed multiple systemic metastasis and expired a year after diagnosis of orbital metastasis.