Meridional lenticular astigmatism associated with bilateral concurrent uveal metastases in renal cell carcinoma

Meridional lenticular astigmatism associated with bilateral concurrent uveal metastases in renal cell carcinoma

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Joshua C Priluck, Sandeep Grover, KV ChalamDepartment of Ophthalmology, University of Florida College of Medicine, Jacksonville, FL, USAPurpose: 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 discount greenery astigmatism are described.The refraction revealed best-corrected visual acuity of 20/20–1 OD (−2.50 + 0.

25 × read more 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.