Neovascular glaucoma as the presenting sign of metastatic small cell lung carcinoma

Retin Cases Brief Rep. 2011 Winter;5(1):26-9. doi: 10.1097/ICB.0b013e3181babf0b.

Abstract

Purpose: The purpose of this study is to describe a case of metastatic lung cancer presenting with neovascular glaucoma.

Methods: This was a retrospective chart review describing one case.

Results: A previously healthy 36-year-old man presented with light perception vision and painful neovascular glaucoma. Examination and ultrasound showed a complete retinal detachment overlying a dome-shaped choroidal mass. After enucleation, histopathology showed findings consistent with small cell lung carcinoma metastasis. Oncologic evaluation showed a necrotic lung carcinoma with extensive bony metastases.

Conclusion: Metastatic carcinoma to the eye can manifest with features of neovascular glaucoma.