Retinal Detachment as an Initial Presentation of Metastatic Breast Carcinoma – A Case Report

Ocular involvement in disseminated malignancies can present due to many reasons, most important being direct ocular infiltration by cancer cells. We present a case of choroidal metastatses. A 50-year-old female presented with sudden diminution of vision in the left associated with RAPD and deep episcleral congestion. Fundus examination revealed a solid retinal detachment and was confirmed by B-scan. Fine- needle aspiration cytology of the lymph node and retinal biopsy confirmed the features of adenocarcinoma breast. The past history confirmed the history of mastectomy and chemotherapy. She was later refereed for radiotherapy.