Vision loss from choroidal and pituitary metastases secondary to renal cell carcinoma: a case report

Laura D. Selby, Hillary C. Stiefel, Alison Skalet, Molly S. Cardenal, Kavita Bhavsar, Kimberly Winges

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

A 62-year-old male with a history of metastatic clear cell renal cell carcinoma (ccRCC) presented with decreased vision to 20/50 in the left eye. Fundus examination revealed an elevated, amelanotic mass lesion in the superotemporal macula, without involvement of the central macula by subretinal fluid or tumour. Given incongruity between the fundus findings and the degree of visual impairment, visual field testing was obtained, revealing a bitemporal hemianopia. Magnetic resonance imaging demonstrated optic chiasm compression by a pituitary mass, which had previously been overlooked on computed tomography imaging. Biopsy confirmed metastatic ccRCC to the pituitary, which presented simultaneously with the presumed choroidal metastasis.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalNeuro-Ophthalmology
DOIs
StateAccepted/In press - Jun 18 2018

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Keywords

  • bitemporal hemianopia
  • Choroidal
  • metastasis
  • pituitary
  • renal cell carcinoma

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology

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