Bilateral choroidal metastases presenting as acute glaucoma crisis.

Abstract

We report a case of bilateral choroidal metastasis presenting with acute unilateral glaucoma. Primary tumor was found in the lung and choroidal masses in both eyes. Anterior segment neovascularization causing intraocular pressure elevation was the only presenting sign of metastatic choroidal tumor. A painful and hypertensive eye could be symptoms of choroidal metastasis even if no systemic malignancy is encountered.