Duration 5min, Q&A 3min
Paradoxical Enophthalmos: A Case of Multiple Orbital Masses in a 57-Year-Old Female Presenting with Enophthalmos
Orbital metastases are rare and account for only about two to nine percent of orbital neoplasms. Breast and lung carcinoma are the primary sources of orbital metastases for women and men, respectively.
This is a case of a 57-year-old female previously diagnosed and treated surgically and medically for invasive lobular carcinoma of the right breast in 1997, who consulted at the Department of Ophthalmology and Visual Sciences, Sentro Oftalmologico Jose Rizal, Philippine General Hospital for alleged proptosis of the right eye. Both of the patient s eyes were found to be enophthalmic during the consult, and multiple orbital masses were present upon review of her orbital CT scan. She was diagnosed as a case of orbital metastasis from metastatic breast carcinoma. She was referred for chemo-radiation treatment but the patient failed to return for subsequent consultations and was lost to follow up.
This is a report of a case of orbital metastasis from a primary breast carcinoma presenting with enophthalmos.
Results and Conclusion
Previously diagnosed cancer patients complaining of eye symptoms must be evaluated for the presence of orbital metastases. Unusual presentations, such as enophthalmos, should not be overlooked. Imaging and systemic work up is important for proper diagnosis, and subsequent prognostication and treatment.
[ Keyword ]
Orbital metastasis / Enophthalmos / Breast Carcinoma
[ Conflict of Interest ]