Chief & Presenting Author: Dr.A. Vijayalakshmi

Abstract

A 33-year-female presented with defective vision in RE for 4 months.BCVA and IOP RE were 20/200 and 60 mmHg.Detailed examination revealed CCC, multiple tan-coloured iris stromal lesions, 360 degree iris neovascularisation. Fundus OD revealed CDR of 0.8. FFA OD revealed patchy hyper fluorescence in the posterior pole and in periphery.Our patient underwent detailed systemic evaluation like CT-chest, USG abdomen and microbiological examination However, CT imaging demonstrated widespread metastasis involving sternum, vertebra, liver, lung, pleura.On further probing, she gave the history of Left-sided breast carcinoma for which radical mastectomy was performed 3 years ago. A clinical diagnosis of iris metastasis with neovascular glaucoma (NVG), anterior uveitis and presumed choroidal metastasis secondary to breast CA with widespread systemic metastasis was made. Patient was started on AGM along with topical steroids& cycloplegics.She was referred to oncologist for systemic chemotherapy.