Meridional lenticular astigmatism associated with bilateral concurrent uveal metastases in renal cell carcinoma
Joshua C Priluck, Sandeep Grover, KV Chalam
Department of Ophthalmology, University of Florida College of Medicine, Jacksonville, FL, USA
Purpose: To demonstrate a case illustrating meridional lenticular astigmatism as a result of renal cell carcinoma uveal metastases.
Methods: Case report with images.
Results: Clinical findings and diagnostic testing of a patient with acquired meridional lenticular astigmatism are described. The refraction revealed best-corrected visual acuity of 20/20–1 OD (−2.50 + 0.25 × 090) and 20/50 OS (−8.25 + 3.25 × 075). Bilateral concurrent renal cell carcinoma metastases to the choroid and ciliary body are demonstrated by utilizing ultrasonography, ultrawidefield fluorescein angiography, and unique spectral-domain optical coherence tomography.
Conclusions: Metastatic disease should be included in the differential of acquired astigmatism. Spectral-domain optical coherence tomography, ultrawidefield fluorescein angiography, and ultrasonography have roles in delineating choroidal metastases.
Keywords: astigmatism, metastasis, optical coherence tomography, renal cell carcinoma
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