Vision Loss from Choroidal and Pituitary Metastases Secondary to Renal Cell Carcinoma: A Case Report |
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| Authors: | Laura D. Selby Hillary C. Stiefel Alison H. Skalet Molly S. Cardenal Kavita V. Bhavsar |
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| Affiliation: | 1. School of Medicine, Oregon Health &2. Science University, Portland, Oregon, USA;3. Casey Eye Institute, Oregon Health &4. Oregon Eye Specialists, Newberg, Oregon, USA;5. Department of Radiation Medicine, Oregon Health &6. Department of Optometry, VA Portland Health Care System, Portland, Oregon, USA;7. Department of Ophthalmology, VA Portland Health Care System, Portland, Oregon, USA |
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| Abstract: | A 62-year-old male with a history of metastatic clear cell renal cell carcinoma (ccRCC) presented with decreased vision to 20/50 in the left eye. Fundus examination revealed an elevated, amelanotic mass lesion in the superotemporal macula, without involvement of the central macula by subretinal fluid or tumour. Given incongruity between the fundus findings and the degree of visual impairment, visual field testing was obtained, revealing a bitemporal hemianopia. Magnetic resonance imaging demonstrated optic chiasm compression by a pituitary mass, which had previously been overlooked on computed tomography imaging. Biopsy confirmed metastatic ccRCC to the pituitary, which presented simultaneously with the presumed choroidal metastasis. |
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| Keywords: | Choroidal metastasis renal cell carcinoma bitemporal hemianopia pituitary |
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