Cancer-associated retinopathy preceding the diagnosis of a pulmonary carcinoid tumour

BMJ Case Rep. 2020 Nov 2;13(11):e235046. doi: 10.1136/bcr-2020-235046.


Cancer-associated retinopathy (CAR) belongs to the paraneoplastic retinopathy syndromes and manifests itself by rapidly progressive vision loss, scotoma and photopsia. We herein reported the case of a 77-year-old woman without a cancer history who presents typical CAR symptoms. A complete workup followed by lung biopsy enabled the detection of a pulmonary carcinoid tumour. Treatment of oral cortisone was then initiated with dramatic improvements in the symptoms.

Keywords: lung cancer (oncology); medical management; visual pathway.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Biopsy
  • Carcinoid Tumor / complications
  • Carcinoid Tumor / diagnosis*
  • Diagnosis, Differential
  • Female
  • Fluorescein Angiography / methods
  • Fundus Oculi
  • Humans
  • Lung Neoplasms / complications
  • Lung Neoplasms / diagnosis*
  • Paraneoplastic Syndromes, Ocular / diagnosis*
  • Retina / diagnostic imaging*
  • Retinal Diseases / diagnosis*
  • Retinal Diseases / etiology