Nasopharyngeal carcinoma presenting as exudative retinal detachment, haemorrhagic choroidal detachment, and secondary angle closure glaucoma

Mae-Lynn Catherine Bastion, Howe S. Kok, Muhaya Mohamad

Research output: Contribution to journalArticle

Abstract

This report is of a 68-year-old woman with an unusual association of anaplastic nasopharyngeal tumour and exudative retinal detachment, subsequent choroidal haemorrhage, and high intraocular pressure. The patient had unexplained poor vision after cataract surgery and developed a bullous exudative retinal and choroidal detachment and angle closure glaucoma 5 years later. Computed tomography revealed a tumour involving the contralateral right nasal cavity without direct extension into the left orbit. Histopathological examination of the tumour showed an undifferentiated nasopharyngeal carcinoma. Retrospective review of the left fundus fluorescein angiogram taken 5 years earlier suggested pigmentary changes and peripheral exudation. Similar pigmentary changes were evident in the fellow eye in association with subtle serous detachments and poor vision.

Original languageEnglish
Pages (from-to)113-115
Number of pages3
JournalAsian Journal of Ophthalmology
Volume7
Issue number3
Publication statusPublished - 2005

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Angle Closure Glaucoma
Retinal Detachment
Choroid Hemorrhage
Neoplasms
Nasal Cavity
Orbit
Fluorescein
Intraocular Pressure
Cataract
Angiography
Tomography
Carcinoma
Nasopharyngeal carcinoma

Keywords

  • Angle-closure
  • Glaucoma
  • Nasopharyngeal neoplasms
  • Retinal detachment

ASJC Scopus subject areas

  • Ophthalmology

Cite this

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abstract = "This report is of a 68-year-old woman with an unusual association of anaplastic nasopharyngeal tumour and exudative retinal detachment, subsequent choroidal haemorrhage, and high intraocular pressure. The patient had unexplained poor vision after cataract surgery and developed a bullous exudative retinal and choroidal detachment and angle closure glaucoma 5 years later. Computed tomography revealed a tumour involving the contralateral right nasal cavity without direct extension into the left orbit. Histopathological examination of the tumour showed an undifferentiated nasopharyngeal carcinoma. Retrospective review of the left fundus fluorescein angiogram taken 5 years earlier suggested pigmentary changes and peripheral exudation. Similar pigmentary changes were evident in the fellow eye in association with subtle serous detachments and poor vision.",
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N2 - This report is of a 68-year-old woman with an unusual association of anaplastic nasopharyngeal tumour and exudative retinal detachment, subsequent choroidal haemorrhage, and high intraocular pressure. The patient had unexplained poor vision after cataract surgery and developed a bullous exudative retinal and choroidal detachment and angle closure glaucoma 5 years later. Computed tomography revealed a tumour involving the contralateral right nasal cavity without direct extension into the left orbit. Histopathological examination of the tumour showed an undifferentiated nasopharyngeal carcinoma. Retrospective review of the left fundus fluorescein angiogram taken 5 years earlier suggested pigmentary changes and peripheral exudation. Similar pigmentary changes were evident in the fellow eye in association with subtle serous detachments and poor vision.

AB - This report is of a 68-year-old woman with an unusual association of anaplastic nasopharyngeal tumour and exudative retinal detachment, subsequent choroidal haemorrhage, and high intraocular pressure. The patient had unexplained poor vision after cataract surgery and developed a bullous exudative retinal and choroidal detachment and angle closure glaucoma 5 years later. Computed tomography revealed a tumour involving the contralateral right nasal cavity without direct extension into the left orbit. Histopathological examination of the tumour showed an undifferentiated nasopharyngeal carcinoma. Retrospective review of the left fundus fluorescein angiogram taken 5 years earlier suggested pigmentary changes and peripheral exudation. Similar pigmentary changes were evident in the fellow eye in association with subtle serous detachments and poor vision.

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