Iris Metastasis from Malignancy of the Lungs- Clinical, Diagnostic and Therapeutic Evaluation of a Case Report

An Iris Metastasis from Malignancy of the Lungs- Clinical, Diagnostic and Therapeutic Evaluation of a Case Report

Abstract

Introduction: Iris metastases are uncommon and rarely the first presentation of malignancy from the lungs. They usually present with pain or blurred of vision secondary to anterior segment reaction such as anterior uveitis, secondary glaucoma and spontaneous hyphema.
Case Report: Here we report a rare case of small cell adenoma of the lungs with iris metastasis. This case presented to us initially as a whitish iris mass. Examination revealed a whitish, vascularized tumor was occupying the temporal part of the anterior chamber. Computerized tomography (CT) orbit showed a hyper-density near the lens and CT of the chest revealed a heterogeneous mass in the left upper lobe lungs, abutting the chest and pericardium. The histo-pathological findings from CT guided lungs biopsy diagnosed adenocarcinoma of the lungs. The patient pass away within 2 months before any intervention could be carried out.
Conclusion: Iris metastases of lungs adenocarcinoma carried very bad prognosis. Occurrences of metastatic lesions in the eye are considered as preterminal events if carcinoma of the lung is the primary tumor.