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A case of metastatic orbital tumor with severe pain Kei Akaiwa 1 , Kayo Shinomiya 1 , Yoko Ogushi 1 , Teruyoshi Kageji 2 , Akiko Abe 3 , Yoshinori Mitamura 1 1Department of Ophthalmology, Institute of Biomedical Sciences, Tokushima University Graduate School 2Department of Neurosurgery, Institute of Biomedical Sciences, Tokushima University Graduate School 3Department of Obstetrics and Gynecology, Institute of Biomedical Sciences, Tokushima University Graduate School pp.1319-1324
Published Date 2016/8/15
DOI https://doi.org/10.11477/mf.1410211925
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Abstract Purpose: To report a case of metastatic orbital tumor that needed differentiation from complication of past surgery for retinal detachment using MIRAgel® because of severe pain.

Case: A 64-year-old woman was referred to us for pain in the right eye of recent onset. She had received surgery for retinal detachment in both eyes using MIRAgel® 15 years before. She had been diagnosed with cervical carcinoma 2 months before followed by chemotherapy and radiation.

Findings and Clinical Course: Corrected visual acuity was 0.8 right and 1.2 left. Both eyes showed signs of scleral encircling in the past. Presence of encircling material was visible or palpable under the conjunctiva. The right eye showed restricted movement with pain during attempted outward gaze. Magnetic resonance imaging(MRI)showed a tumor in the medial rectus muscle of the right eye. Ocular pain aggravated after removal of encircling material. MRI showed enlargement of the tumor followed by its surgical removal. Histopathological findings suggested metastasis of cervical carcinoma. The patient passed away 2 months later due to systemic metastases.

Conclusion: This case illustrates that malignancy metastatic to the orbit may cause severe pain following rapid enlargement.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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